Climb for PTSD

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

CLIMB FOR PTSD

Practice address

125 N Ruby LN
Fairview Heights, IL 62208-1926

Phone

(618) 980-8318

Fax

(618) 398-1759

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By 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

Linas Grybinas

Title

President

Phone

(618) 980-8318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1568820231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N RUBY LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081926",
            "telephone_number": "618-980-8318",
            "fax_number": "618-398-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N RUBY LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081926",
            "telephone_number": "618-980-8318",
            "fax_number": "618-398-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIMB FOR PTSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "GRYBINAS",
        "authorized_official_first_name": "LINAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-980-8318"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Nicole Ceretto, COTA/L
• Chestnut Health Systems, Inc.
• Earnestine Moore Chotkowski, REGISTERED NURSE
• Marie Clark, M.A., LMFT
• Mary Elizabeth Clay
• Kennedy Cloe
• Tyler James Clover, PHARMD
• Stacey Collins, PT
• Markeisha L Constant, LPC
• Cooperative Home Care, Inc.

• Voluntary or Charitable Agency in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.