Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174065080 Individual Practitioner Female Practitioner

Mckenzie Mallard

Developmental Therapist • Bourbonnais, IL

Professional Overview & Biography Verified Profile Summary

Mckenzie Mallard is a registered healthcare professional specializing in Developmental Therapist in Bourbonnais, IL. Practice services are available at 598 SPRING PARK LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

598 Spring Park Loop

Bourbonnais, IL 609144968

Telephone 8156717092
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Bourbonnais, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Bourbonnais, IL (2859 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

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.

Secondary Practice Locations

500 Fairway Dr, Suite 102

Deerfield Beach, FL 334411814

Phone: 8888809270

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Rebecca Einoris

Developmental Therapist

NPI 1043138332
Victoria Huenerberg

Developmental Therapist

NPI 1144149519
Lisa Schuldt

Developmental Therapist

NPI 1346804044
Krista Hartwick

Developmental Therapist

NPI 1427941814
Kasey Six

Early Intervention Provider Agency

NPI 1477423036
Latonjanette Robertson

Developmental Therapist

NPI 1780407940

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 12, 2019

Registered at 598 SPRING PARK LOOP, BOURBONNAIS, IL 609144968 (Tel: 8156717092)

📍
Updated Business Mailing Address August 12, 2019

Registered at 598 SPRING PARK LOOP, BOURBONNAIS, IL 609144968 (Tel: 8156717092)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2019

Developmental Therapist

NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2016

Registered at 500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 334411814 (Tel: 8888809270)

📍
Updated Business Mailing Address November 09, 2016

Registered at 500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 334411814 (Tel: 8888809270)

👤
Provider Name / Credentials Updated November 09, 2016

Recorded as MCKENZIE MALLARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174065080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2016
Last Update: August 12, 2019
Sole Proprietor: No

Mailing Address

598 Spring Park Loop

Bourbonnais, IL 609144968

Phone: 8156717092

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.