Individual provider Active NPI

Erica Phylis Lessig

  • Developmental Therapist
  • Deerfield, IL
National Provider Identifier
1720657166
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
902 Bristol Dr
Deerfield, IL 60015-4843
Phone
(847) 767-1179
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X IL Primary

Addresses

Primary practice location

902 Bristol Dr
Deerfield, IL 60015-4843

Mailing address

902 Bristol Dr
Deerfield, IL 60015-4843
Phone (847) 767-1179

Other names 1

  • Erica Phylis Lindon Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ericalindon@yahoo.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1720657166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BRISTOL DR",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154843",
            "telephone_number": "847-767-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BRISTOL DR",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154843",
            "telephone_number": "847-767-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSIG",
        "first_name": "ERICA",
        "middle_name": "PHYLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ericalindon@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "902 Bristol Dr",
            "city": "Deerfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600154843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "LINDON",
            "middle_name": "PHYLIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.