Organization Active NPI

Hilltop Haven Inc

  • Clinical Neuropsychologist
  • Richmond, IL
National Provider Identifier
1477037133
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
HILLTOP HAVEN INC
Practice address
2018 Il Route 173
Richmond, IL 60071-9628
Phone
(877) 570-7970
Fax
(855) 570-3738
NPI assigned
Sep 19, 2018
Last updated
Sep 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Dr. Carey Jeanne Woodruff, PHDNPI 1871727305
Title
Founder
Phone
(847) 942-9084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary
Rehabilitation Psychologist 103TR0400X NU

Addresses

Primary practice location

2018 Il Route 173
Richmond, IL 60071-9628

Mailing address

PO Box 35
Libertyville, IL 60048-0035
Phone (877) 570-7970

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1477037133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600480035",
            "telephone_number": "877-570-7970",
            "fax_number": "855-570-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 IL ROUTE 173",
            "city": "RICHMOND",
            "state": "IL",
            "postal_code": "600719628",
            "telephone_number": "877-570-7970",
            "fax_number": "855-570-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLTOP HAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "847-942-9084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.