STEPHANIE GUADARRAMA (NPI# 1568057073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568057073 |
| Entity Type | Individual |
| Full Name | STEPHANIE GUADARRAMA |
| Gender | Female |
| Practice Address | 1640 W Roosevelt Rd Ste 103 Chicago IL 60608-1316 |
| Practice Telephone | 3124131871 |
| Mailing Address | 1640 W Roosevelt Rd Ste 103 Chicago IL 60608-1316 |
| Certification Date | 2021-03-05 |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address | 1640 W ROOSEVELT RD STE 103 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497348429 | Claire Olivia Holmes | Behavior Technician | 1640 W Roosevelt Rd # Mc727, Chicago, IL 60608-1316 | 2021-02-20 |
| 1225624653 | Erika L Hellenbart | Pharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1640 W Roosevelt Rd Fl 3, Chicago, IL 60608-1316 | 2020-12-20 |
| 1316533714 | Daniel Garcia | Physical Therapist · Orthopedic | 1640 W Roosevelt Rd # 338, Chicago, IL 60608-1316 | 2020-12-19 |
| 1982162368 | Nicholas Vincent Gornick | Physical Therapist | 1640 W Roosevelt Rd Ste 336, Chicago, IL 60608-1316 | 2019-03-05 |
| 1528525789 | Brian Baranyi | Physical Therapist | 1640 W Roosevelt Rd # 336, Chicago, IL 60608-1316 | 2019-02-25 |
| 1164925913 | Zhihui Yi | Behavioral Analyst | 1640 W Roosevelt Rd # Dhsp103, Chicago, IL 60608-1316 | 2018-03-16 |
| 1194231829 | Oliver Rivera | Physical Therapist | 1640 W Roosevelt Rd Rm 336, Chicago, IL 60608-1316 | 2017-12-18 |
| 1003138561 | Jessica Lynn Schultz | Counselor · Professional | 1640 W Roosevelt Rd, Chicago, IL 60608-1316 | 2010-02-24 |
| 1043476914 | Grethel Bayro | Speech-Language Pathologist | 1640 W Roosevelt Rd # Mc336, Chicago, IL 60608-1316 | 2008-07-31 |
| 1033797915 | Alyson Martinez Yanez | Behavior Technician | 1640 W Roosevelt Rd, Dhsp 103, Mc727, Chicago, IL 60608-1316 | 2021-03-31 |
| Find all providers in zip 60608-1316 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800602 | Mount Sinai Hospital Medical Center | Clinic/Center | 1414 S Fairfield Ave, Chicago, IL 60608 | 2020-10-30 |
| 1699390047 | Bethuna Shields | Occupational Therapist · Low Vision | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation · Sinai Medical Group | Clinic/Center · Multi-Specialty | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1093345340 | Nicole Jadue Paul · Nicole Cecilia Jadue Gonzalez | Family Medicine | 1500 S. California Ave, #f1008, Chicago, IL 60608 | 2020-01-24 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1306499959 | Sharada Kc | Internal Medicine | 1500 South Fairfield Ave, Chicago, IL 60608 | 2019-07-23 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1225523053 | Maria Dinorah Salazar Garcia | Obstetrics & Gynecology | 1500 S. California Ave., Suite F- 206, Chicago, IL 60608 | 2018-06-25 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861072449 | Mattie C Johnson | 12436 S Wallace St, Chicago, IL 60628-7128 | 2021-04-08 | |
| 1437738978 | Jessica Florina Diaz | 10829 S Calhoun Ave Bsmt, Chicago, IL 60617-6421 | 2021-04-02 | |
| 1831777697 | Madeline Rose Carmona | 5731 S Kilbourn Ave, Chicago, IL 60629-4811 | 2021-03-31 | |
| 1205412855 | Masearte Abraha | 4400 W Wilson Ave, Chicago, IL 60630-4124 | 2021-03-23 | |
| 1669067880 | Anna E Footerman | 5651 N Rockwell St Apt 1, Chicago, IL 60659-4907 | 2021-03-09 | |
| 1366037178 | Mary Kaylle Idor | 4947 N Keystone Ave, Chicago, IL 60630-2808 | 2021-03-03 | |
| 1497348429 | Claire Olivia Holmes | 1640 W Roosevelt Rd # Mc727, Chicago, IL 60608-1316 | 2021-02-20 | |
| 1992398374 | Jamecia J Mcfarlin | 13120 S Eberhart Ave, Chicago, IL 60827-1327 | 2021-02-16 | |
| 1881286623 | Caitlin Bieda | 6637 N Northwest Hwy, Chicago, IL 60631-1351 | 2021-02-03 | |
| 1619568078 | Sara Lapage | 6017 S Monitor Ave, Chicago, IL 60638-4421 | 2021-01-28 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346692043 | Stephanie Sarai Guadarrama · Stephanie Sarai Orellana | Counselor · Mental Health | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2016-07-06 |
| 1346858164 | Stephanie Guadarrama Flores | Massage Therapist | 2330 N 75th Ave Ste 113, Phoenix, AZ 85035-1200 | 2020-07-17 |
| 1144863374 | David Guadarrama | Case Manager/Care Coordinator | 90 E 200 N, Logan, UT 84321-4034 | 2019-10-21 |
| 1982080503 | Chantal Guadarrama | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2015-08-05 |
| 1881845717 | Mayrel Guadarrama Delgado | Case Manager/Care Coordinator | 12 S 8th St, Yakima, WA 98901-3020 | 2008-10-09 |
| 1619350402 | Dennis Guadarrama II | Internal Medicine | 325 New London Ave Apt A2, Warwick, RI 02886-0672 | 2015-06-30 |
| 1609235936 | Hailey Guadarrama | Physical Therapy Assistant | 29 N Commerce St, Ardmore, OK 73401 | 2016-02-15 |
| 1841826146 | Tawana Guadarrama | Community Health Worker | 221 Main St Fl 3, Hartford, CT 06106-1890 | 2020-03-18 |
| 1548803836 | Elizabeth Guadarrama | Nurse Practitioner · Family | 224 W 32nd St, Hialeah, FL 33012-5318 | 2019-10-19 |
| 1558731182 | Erica Guadarrama | Nurse's Aide | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-09-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.