Individual provider Active NPI

Emily Salomon, BA, RBT

  • Behavior Technician
  • Geneva, IL
National Provider Identifier
1558986877
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-120018 Issued in IL
Practice address
1250 Executive PL Ste 201
Geneva, IL 60134-3805
Phone
(223) 781-5223
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-120018 IL Primary

Addresses

Primary practice location

1250 Executive PL Ste 201
Geneva, IL 60134-3805

Mailing address

1119 Jonathan Dr
Inverness, IL 60010-6135

Other identifiers 1

IdentifierTypeStateIssuer
20-120018OtherILBEHAVIOR ANALYST CERTIFICATION BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917004122 IL Practitioner - Mental Health Counselor 6800337973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Hill Associates, LLCGroup PAC ID 1557523552, 25 clinicians

Practice addresses (Care Compare)

21925 W Field Pkwy
Deer Park, IL 60010-7208
Phone (847) 438-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RBT-20-120018ILMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Hill Associates, LLC CurrentSince Sep 5, 2024 Accepting new patients

Locations

21925 W Field Pkwy
Deer Park, IL 60010
Phone (847) 438-4222

61 S Old Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-4222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1558986877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 JONATHAN DR",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600106135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EXECUTIVE PL STE 201",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343805",
            "telephone_number": "223-781-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "EMILY",
        "credential": "BA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-20-120018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "20-120018",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.