JESSICA KUBACKI
NPI 1528574472
Developmental Therapist in Evanston, IL

Active since December 14, 2017
535 HINMAN AVE APT F3, EVANSTON, IL 60202(224) 730-9286 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2019, Jun 12, 2018, Dec 14, 2017 (3 updates tracked since 2017).

About Jessica Kubacki NPPES

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

JESSICA KUBACKI (NPI 1528574472) is an individual developmental therapist in Evanston, Illinois and active in the NPI registry since December 2017. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1528574472
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameJESSICA KUBACKI
Location Address535 HINMAN AVE APT F3Evanston, IL 60202
Mailing Address535 Hinman Ave Apt F3Evanston, IL 60202-3058 · (224) 730-9286
Sole ProprietorNo
Enumeration DateDecember 14, 2017
Last NPPES UpdateJanuary 2, 20193 updates tracked since enumeration
NPI 1528574472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
535 HINMAN AVE APT F3, Evanston, IL 60202

Other Names 1

Former Name (1)Jessica Gonzalez

Secondary Practice Location 1

Location 11409 W Carroll AveChicago, IL 60607 · Phone (312) 733-0883

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 Jessica Kubacki's NPI number?

The NPI number for Jessica Kubacki is 1528574472. It was assigned to this individual provider in the NPPES registry on December 14, 2017. The provider is also known as Jessica Gonzalez.

Where is Jessica Kubacki located?

Jessica Kubacki practices at 535 Hinman Ave Apt F3, Evanston, IL 60202. The listed phone number is (224) 730-9286.

What is Jessica Kubacki'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 Jessica Kubacki was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.