Individual provider Active NPI

Amanda Valerie Croft, EDD, NCSP

  • School Psychologist
  • Skokie, IL
National Provider Identifier
1477900165
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2493229 Issued in IL
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
2493229ILMDSchool 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.

Verify at the official NPI Registry.