Organization Active NPI

Trauma Therapy, LLC

  • Marriage & Family Therapist
  • Schaumburg, IL
National Provider Identifier
1396048658
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000787 Issued in IL
Legal business name
TRAUMA THERAPY, LLC
Practice address
890 E Higgins Rd
Suite 150F
Schaumburg, IL 60173-4799
Phone
(847) 969-9121
Fax
(847) 969-9120
NPI assigned
Dec 8, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Ms. Rosemary Duffy-Greslo, LMFT
Title
Manager
Phone
(847) 969-9121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.000787 IL Primary

Addresses

Primary practice location

890 E Higgins Rd
Suite 150F
Schaumburg, IL 60173-4799

Mailing address

890 E Higgins Rd
Suite 150F
Schaumburg, IL 60173-4799
Phone (847) 969-9121

National Provider Directory

National Provider Directory

Locations

890 E Higgins Rd
Ste 150F
Schaumburg, IL 60173
Phone (847) 969-9121

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1396048658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E HIGGINS RD",
            "address_2": "SUITE 150F",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734799",
            "telephone_number": "847-969-9121",
            "fax_number": "847-969-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E HIGGINS RD",
            "address_2": "SUITE 150F",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734799",
            "telephone_number": "847-969-9121",
            "fax_number": "847-969-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "DUFFY-GRESLO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-969-9121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.