Acadia Pediatric Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ACADIA PEDIATRIC THERAPY

Practice address

1015 N Corporate Cir Ste a
Grayslake, IL 60030-7813

Phone

(224) 716-5033

Fax

(224) 643-4126

NPI assigned

Dec 20, 2022

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deana L JarosNPI 1760682876

Title

Bcba

Phone

(224) 716-5033

Specialties & licenses 1

Addresses

Tax ID family

Acadia Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Acadia Pediatric Therapy

  • Clinic/Center
  • Grayslake, IL
  • NPI 1811681125
  NPD tax ID

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.

• Deana Lynn Jaros, DT

  • Developmental Therapist
  • Lake Villa, IL
  • NPI 1760682876

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1982316006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36880 N DEER TRAIL DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466731",
            "telephone_number": "247-165-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N CORPORATE CIR STE A",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307813",
            "telephone_number": "224-716-5033",
            "fax_number": "224-643-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "JAROS",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "224-716-5033"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A&M Home Care LLC
• Acadia Pediatric Therapy
• Accelerated Rehabilitation Center of Kenosha LTD
• Acute Care Partnership, Inc
• Barbara J Adams
• Adio Chiropractic Clinic SC
• Advanced Medical Specialists, Inc.

• Behavior Analyst in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.