Active NPI
Monique Shavon Robinson, MR16981203P
- Developmental Therapist
- Harvey, IL
National Provider Identifier
1679770531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- MR16981203P
- Practice address
- 16001 Marshfield Ave
Harvey, IL 60426-4920 - Phone
- (708) 333-6349
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | MR16981203P | IL | Primary |
Addresses
Primary practice location
16001 Marshfield Ave
Harvey, IL 60426-4920
Mailing address
PO Box 1368
16001 S Marshfield
Harvey, IL 60426-7368
Phone (708) 333-6349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MR16981203P | Other | IL | DT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MR16981203P | IL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Developmental Agency | Developmental Therapist | Current | Accepting new patients |
| MD Developmental Agency LLC | Current | Accepting new patients | |
| MD Developmental Agency LLC | Current | Accepting new patients | |
| Robinson Developmental Agency | Past | Accepting new patients | |
| BR Developmental Agency | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Chicago, IL
- NPI 1528766391
-
- Early Intervention Provider Agency
- Chicago, IL
- NPI 1891493144
-
- Early Intervention Provider Agency
- Harvey, IL
- NPI 1407130743
-
- Developmental Therapist
- Henderson, NV
- NPI 1174140800
-
- Early Intervention Provider Agency
- Harvey, IL
- NPI 1578928776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679770531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"address_2": "16001 S MARSHFIELD",
"city": "HARVEY",
"state": "IL",
"postal_code": "604267368",
"telephone_number": "708-333-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 MARSHFIELD AVE",
"city": "HARVEY",
"state": "IL",
"postal_code": "604264920",
"telephone_number": "708-333-6349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MONIQUE",
"middle_name": "SHAVON",
"name_prefix": "Miss",
"credential": "MR16981203P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "MR16981203P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DT",
"identifier": "MR16981203P",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.