CTF Illinois

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CTF ILLINOIS

Doing business as

ACCESS Behavioral Health

Practice address

914 17TH St
Charleston, IL 61920-2917

Phone

(708) 429-1260

NPI assigned

May 11, 2021

Last updated

May 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Patricia Ambrosino

Title

Ceo

Phone

(708) 429-1260

Specialties & licenses 1

Addresses

Other names 1

• ACCESS Behavioral Health 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

  dba Charleston Transitional Facility

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

  dba ACCESS Psychological Services

  • Non-emergency Medical Transport (VAN)
  • South Holland, IL
  • NPI 1194183699
  NPD tax ID
• CTF Illinois

  dba ACCESS Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Holland, IL
  • NPI 1356706881
  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

  dba CTF Access-Supr

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

  dba CTF Illinois -Reynolds MH

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

  dba ACCESS Behavioral Health

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reagan Carey, MS

  • Behavior Analyst
  • Charleston, IL
  • NPI 1417619768
  NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1437733979",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 17TH ST",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202917",
            "telephone_number": "708-429-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "AMBROSINO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-429-1260"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Coles (City of Charleston)
• Covenant Care Hilltop, LLC (Hilltop Skilled Nursing and Rehabilitation Center)
• Virginia Alberta Croft, SLP
• Hannah Crowley
• Brittany Nicole Crum
• CTF Illinois (CTF Illinois -Reynolds MH)
• Corey Marie Cunningham, MS LCPC
• Madissen Kailyn Davis, ATC
• Noah Mikael Davis, MS, LAT, ATC
• Melissa N Degiorgis, MSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charleston, IL
• Providers in Charleston, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.