The Illinois Center for Autism

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE ILLINOIS CENTER FOR AUTISM

Practice address

548 S Ruby LN
Fairview Heights, IL 62208-2614

Phone

(618) 398-7500

Fax

(618) 394-9869

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Susan Szekely

Title

Executive Director

Phone

(618) 398-7500

Specialties & licenses 8

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1922378991",
    "addresses": [
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            "country_name": "United States",
            "address_purpose": "MAILING",
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            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082614",
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            "fax_number": "618-394-9869"
        },
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            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082614",
            "telephone_number": "618-398-7500",
            "fax_number": "618-394-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ILLINOIS CENTER FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "SZEKELY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-398-7500"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
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        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
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            "taxonomy_group": "",
            "desc": "Case Management",
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        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
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        {
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            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
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    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Makenzie Thiel
• Kathleen Thomas
• Sonya Thomas
• Jennifer Thompson, P.T.
• Kristen R Thompson, LPT

• Voluntary or Charitable Agency in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.