Treatment Training Developmental Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178009745 Issued in IL

Legal business name

TREATMENT TRAINING DEVELOPMENTAL SERVICES, LLC

Practice address

1609 Sibley Blvd
Calumet City, IL 60409-2217

Phone

(312) 716-0534

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Anthony C Redmond Sr., PHDNPI 1619360872

Title

Member

Phone

(312) 420-5865

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Alderson, DSW, LCSW

  • Clinical Social Worker
  • South Holland, IL
  • NPI 1760653497

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Syreeta L Hughes, M.A., LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1396066114
  Medicare reassignment Care Compare group NPD
• Anthony Carl Redmond, PSYD. M.A., CAADC

  • Psychologist
  • Calumet City, IL
  • NPI 1619360872
  NPD Authorized official

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1386038859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W 148TH PL",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191411",
            "telephone_number": "312-420-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092217",
            "telephone_number": "312-716-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATMENT TRAINING DEVELOPMENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "312-420-5865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178009745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Womenbrand Inc.
• Skyler Monet Thompson
• Thornton Fractional Township High School District 215
• Loris A Tisocco, MD
• Total Renal Care Inc (Calumet City)
• Triple K Services LLC
• Kiritkumar D Trivedi, M.D.
• TSN Home Care LLC
• TSN Home Health LLC
• University of Chicago Medical Center (UCMC Pharmacy Services)

• Professional Counselor in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.