CTF Illinois

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CTF ILLINOIS

Practice address

530 E 162ND St
South Holland, IL 60473-2326

Phone

(708) 825-1986

Fax

(708) 893-0554

NPI assigned

Jan 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary P Ambrosino

Title

Chief Executive Officer

Phone

(708) 429-1260

Specialties & licenses 1

Addresses

Other names 1

• ACCESS Psychological Services Doing business as

Tax ID family

CTF Illinois9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• CTF

  • Developmentally Disabled Services Day Training Agency
  • Homewood, IL
  • NPI 1306118997
  NPD tax ID
• CTF Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Holland, IL
  • NPI 1356706881
  NPD tax ID
• CTF Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, IL
  • NPI 1437733979
  NPD tax ID
• CTF Illinois

  • Adult Mental Health Clinic/Center
  • Orland Park, IL
  • NPI 1528992385
  NPD tax ID
• CTF Illinois

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Orland Park, IL
  • NPI 1679667737
  NPD tax ID
• CTF Illinois

  • Substance Use Disorder Rehabilitation Clinic/Center
  • South Holland, IL
  • NPI 1689339590
  NPD tax ID
• CTF Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, IL
  • NPI 1699372250
  NPD tax ID
• CTF Illinois

  • Adult Mental Health Clinic/Center
  • Orland Park, IL
  • NPI 1770949661
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1194183699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18230 ORLAND PKWY",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675688",
            "telephone_number": "708-429-1260",
            "fax_number": "708-429-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732326",
            "telephone_number": "708-825-1986",
            "fax_number": "708-893-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "AMBROSINO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-429-1260"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACCESS Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Services, Inc
• Nicole Margaret Couri, DDS
• Crain Diagnostics PLLC
• Sandre Leona Crain, FNP-BC
• Debra Crockett
• CTF Illinois
• CTF Illinois
• Rebecca Cummings, FNP-BC
• Danielle a Marshall Speech-Language Consulting Services
• Francine Yavette Davis, LPC

• All providers in South Holland, IL
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.