Active NPI
Amanda Valerie Croft, EDD, NCSP
- School Psychologist
- Skokie, IL
National Provider Identifier
1477900165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2493229
- Practice address
- 5250 Old Orchard Rd
Alexander J. Paret and Associates
Skokie, IL 60077-4460 - Phone
- (847) 708-3004
- NPI assigned
- May 23, 2016
- Last updated
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2493229 | IL | Primary |
Addresses
Primary practice location
5250 Old Orchard Rd
Alexander J. Paret and Associates
Skokie, IL 60077-4460
Mailing address
365 N Halsted St Apt 2502
Chicago, IL 60661-1378
Phone (847) 708-3004
Other names 1
- Dr. Mandi Croft Petoskey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2493229 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1477900165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 N HALSTED ST APT 2502",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611378",
"telephone_number": "847-708-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 OLD ORCHARD RD",
"address_2": "ALEXANDER J. PARET AND ASSOCIATES",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774460",
"telephone_number": "847-708-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROFT",
"first_name": "AMANDA",
"middle_name": "VALERIE",
"name_prefix": "Dr.",
"credential": "EDD, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2493229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDI",
"last_name": "CROFT PETOSKEY",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.