KIM MAILLOUX NPI 1003447822

Developmental Therapist in Worcester, MA

Individual Female Developmental Therapist

About KIM MAILLOUX

Kim Mailloux is a provider established in Worcester, Massachusetts and her medical specialization is developmental therapist. The NPI number of Kim Mailloux is 1003447822 and was assigned on January 2020. The practitioner's primary taxonomy code is 222Q00000X. The provider is registered as an individual and her NPI record was last updated January 2020.

NPI

1003447822

Provider Name KIM MAILLOUX
Provider Location Address239 MILL ST WORCESTER, MA 01602
Provider Mailing Address239 MILL ST WORCESTER, MA 01602
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-30-2020
Last Update Date01-30-2020

Primary Taxonomy

Taxonomy Code222Q00000X
ClassificationDevelopmental Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy DescriptionA Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Business Address

KIM MAILLOUX
239 MILL ST
WORCESTER, MA
ZIP 01602
Phone: (508) 752-8466

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Mailing Address

KIM MAILLOUX
239 MILL ST
WORCESTER, MA
ZIP 01602
Phone: (508) 752-8466

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist505250MANo

Taxonomy Description: a Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093360299 MEGHAN ROSE HURLEY
Individual
Developmental Therapist239 MILL ST
WORCESTER, MA 01602
(508) 752-8466
1114462074 TONYA MATTHEWS D.S.
Individual
Developmental Therapist239 MILL ST SUITE B
WORCESTER, MA 01602
(508) 752-8466
1346295953BYRAM HEALTHCARE CENTERS, INC
Organization
Durable Medical Equipment & Medical Supplies239 MILL ST SUITE A
WORCESTER, MA 01602
(508) 756-8300
1437509213 LENORE MARTIN
Individual
Specialist/Technologist (Rehabilitation, Blind)239 MILL ST SUITE B
WORCESTER, MA 01602
(508) 752-8466
1497124416THOM CHILD AND FAMILY SERVICES
Organization
Early Intervention Provider Agency239 MILL ST
WORCESTER, MA 01602
(508) 752-8466
1528620820 CHRISTINA MICHELLE DOUCETTE MH
Individual
Counselor (Mental Health)239 MILL ST
WORCESTER, MA 01602
(508) 752-8466
1568875011MISS ANGELA M VIZZO M.A., LMHC
Individual
Counselor (Mental Health)239 MILL ST
WORCESTER, MA 01602
(774) 437-8370
1598137473 BRIDGET MURPHY
Individual
Developmental Therapist239 MILL ST
WORCESTER, MA 01602
(508) 752-8466
1649620220 KAREN QUINTANA SD
Individual
Specialist239 MILL ST
WORCESTER, MA 01602
(508) 752-8466
1659822005 JULIANNE GARDNER
Individual
Specialist239 MILL ST SUITE B
WORCESTER, MA 01602
(508) 752-8466
1750786281 MISHA COOLBAUGH
Individual
Health Educator239 MILL ST SUITE B
WORCESTER, MA 01602
(508) 752-8466
1972087609 GABRIELLA SILVA
Individual
Developmental Therapist239 MILL ST
WORCESTER, MA 01602
(508) 752-8485

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.