Developmental Planning & Services Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0030866 Issued in IL

Legal business name

DEVELOPMENTAL PLANNING & SERVICES INC

Practice address

4219 Lincolnshire Dr
Mount Vernon, IL 62864-2157

Phone

(618) 242-2117

Fax

(618) 242-9770

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dennis K Headlee

Title

President

Phone

(618) 244-7701

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• OAK TERRACE Doing business as

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1669524401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2369",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640046",
            "telephone_number": "618-244-7701",
            "fax_number": "618-244-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 LINCOLNSHIRE DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642157",
            "telephone_number": "618-242-2117",
            "fax_number": "618-242-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL PLANNING & SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "HEADLEE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-244-7701"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0030866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION #",
            "identifier": "14G108",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LG TERM CARE ICF DD 16",
            "identifier": "0030866",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "6006803",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK TERRACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David L Deloso, MD
• Vivian V Deloso, OT
• Joseph Demattei, PHARM.D.
• Dennis P Mlot MD LLC
• Meenakshi M Desai, MD FACS
• Docrx Inc
• Docrx, Inc.
• Jennifer Elaine Dodson, BS, MHP
• Tineka N Doggan, DEVLOPMENTAL THERAPY
• Carla Sue Donoho, LCSW

• All providers in Mount Vernon, IL
• Intellectual Disabilities Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.