MCKENZIE MALLARD
NPI 1174065080
Developmental Therapist in Bourbonnais, IL

Active since November 09, 2016
598 SPRING PARK LOOP, BOURBONNAIS, IL 60914(815) 671-7092 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2019, Nov 9, 2016 (2 updates tracked since 2016).

About Mckenzie Mallard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENZIE MALLARD (NPI 1174065080) is an individual developmental therapist in Bourbonnais, Illinois and active in the NPI registry since November 2016. She maintains a secondary practice location in Deerfield Beach.

NPPES Registry Identity

NPI1174065080
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameMCKENZIE MALLARD
Location Address598 SPRING PARK LOOPBourbonnais, IL 60914-4968
Mailing Address598 Spring Park LoopBourbonnais, IL 60914-4968 · (815) 671-7092
Sole ProprietorNo
Enumeration DateNovember 9, 2016
Last NPPES UpdateAugust 12, 20192 updates tracked since enumeration
NPI 1174065080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
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.
598 SPRING PARK LOOP, Bourbonnais, IL 60914

Secondary Practice Location 1

Location 1500 Fairway Dr, Suite 102Deerfield Beach, FL 33441-1814 · Phone (888) 880-9270

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Developmental Therapist
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914
Early Intervention Provider Agency
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914
Developmental Therapist
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914
Developmental Therapist
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914
Early Intervention Provider Agency
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914
Developmental Therapist
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914
Interpreter
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914
Developmental Therapist
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenzie Mallard's NPI number?

The NPI number for Mckenzie Mallard is 1174065080. It was assigned to this individual provider in the NPPES registry on November 9, 2016.

Where is Mckenzie Mallard located?

Mckenzie Mallard practices at 598 Spring Park Loop, Bourbonnais, IL 60914. The listed phone number is (815) 671-7092.

What is Mckenzie Mallard's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Mckenzie Mallard was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.