NPIMap

Organization Active NPI

Developmental Diagnostics, LLC

  • Developmental Therapist
  • Elmhurst, IL
National Provider Identifier
1730643065
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
DEVELOPMENTAL DIAGNOSTICS, LLC
Practice address
612 S Cambridge Ave
Elmhurst, IL 60126-4045
Phone
(630) 209-1650
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Ms. Lisa Caryn O'HalloranNPI 1568689453
Title
Owner
Phone
(630) 209-1650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

612 S Cambridge Ave
Elmhurst, IL 60126-4045

Mailing address

612 S Cambridge Ave
Elmhurst, IL 60126-4045
Phone (630) 209-1650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1730643065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S CAMBRIDGE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264045",
            "telephone_number": "630-209-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S CAMBRIDGE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264045",
            "telephone_number": "630-209-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "O'HALLORAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-209-1650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.