NPIMap

Organization Active NPI

Young Childs Play Therapy Inc

  • Developmental Therapist
  • Belleville, IL
National Provider Identifier
1487007134
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
YOUNG CHILDS PLAY THERAPY INC
Practice address
3304 Seven Pines Dr
Belleville, IL 62221-6638
Phone
(618) 978-0254
Fax
(618) 235-1907
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Ms. Christine Marie Trodglen
Title
Owner
Phone
(618) 978-0254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

3304 Seven Pines Dr
Belleville, IL 62221-6638

Mailing address

3304 Seven Pines Dr
Belleville, IL 62221-6638
Phone (618) 978-0254

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1487007134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 SEVEN PINES DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216638",
            "telephone_number": "618-978-0254",
            "fax_number": "618-235-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 SEVEN PINES DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216638",
            "telephone_number": "618-978-0254",
            "fax_number": "618-235-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CHILDS PLAY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "TRODGLEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-978-0254",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.