Christine Mayworm, DTH, PSYCHOLOGY

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

CM08170993P Issued in IL

Practice address

150 Blueberry Rd
Libertyville, IL 60048-2167

Phone

(847) 816-0013

Fax

(847) 680-3311

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972713022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BLUEBERRY RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482167",
            "telephone_number": "847-816-0013",
            "fax_number": "847-680-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BLUEBERRY RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482167",
            "telephone_number": "847-816-0013",
            "fax_number": "847-680-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYWORM",
        "first_name": "CHRISTINE",
        "credential": "DTH, PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "CM08170993P",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION NUMBER",
            "identifier": "CM08170993P",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne W Mason, DDS
• Karen Mateling, OTR/L
• Robin Abraham Mathew, APN
• Lisa G. Matthews, RD, LDN
• Meghan Matthews
• Andrew Mazulis, M.D.
• David Cary McClenahan, DDS
• John McDonald, PA
• Jan McDonnell, M.A.
• Rachel Hammel McDowell, MD

• Developmental Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.