Organization Active NPI

Five Star Pediatric Therapy LLC

  • Behavior Analyst
  • Schaumburg, IL
National Provider Identifier
1760250435
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FIVE STAR PEDIATRIC THERAPY LLC
Practice address
314 Clearwater LN
Schaumburg, IL 60194-3609
Phone
(269) 447-7004
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Ms. Juliann LatuszekNPI 1740636851
Title
Bcba
Phone
(269) 447-7004

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

314 Clearwater LN
Schaumburg, IL 60194-3609

Mailing address

314 Clearwater LN
Schaumburg, IL 60194-3609
Phone (269) 447-7004

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.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1760250435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CLEARWATER LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943609",
            "telephone_number": "269-447-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CLEARWATER LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943609",
            "telephone_number": "269-447-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "LATUSZEK",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "269-447-7004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.