CTF Illinois

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CTF ILLINOIS

Doing business as

CTF Illinois -Reynolds MH

Practice address

1400 Reynolds Dr
Charleston, IL 61920-2411

Phone

(708) 429-1260

NPI assigned

Oct 7, 2020

Last updated

Apr 14, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CTF ILLINOISAs reported in NPPES

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

Authorized official

Name

Kelli L Cody

Title

Executive Assistant

Phone

(708) 429-1260

Specialties & licenses 2

Addresses

Other names 1

• CTF Illinois -Reynolds MH Doing business as

Tax ID family

Charleston Transitional Facility9 organizations share this tax ID, including this one

Part of

Charleston Transitional Facility

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• CTF

  dba Charleston Transitional Facility

  • Developmentally Disabled Services Day Training Agency
  • Homewood, IL
  • NPI 1306118997
  NPD tax ID
• CTF Illinois

  dba ACCESS Psychological Services

  • Non-emergency Medical Transport (VAN)
  • South Holland, IL
  • NPI 1194183699
  NPD tax ID
• CTF Illinois

  dba ACCESS Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Holland, IL
  • NPI 1356706881
  NPD tax ID
• CTF Illinois

  dba ACCESS Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, IL
  • NPI 1437733979
  NPD tax ID
• CTF Illinois

  • Adult Mental Health Clinic/Center
  • Orland Park, IL
  • NPI 1528992385
  NPD tax ID
• CTF Illinois

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Orland Park, IL
  • NPI 1679667737
  NPD tax ID
• CTF Illinois

  dba CTF Access-Supr

  • Substance Use Disorder Rehabilitation Clinic/Center
  • South Holland, IL
  • NPI 1689339590
  NPD tax ID
• CTF Illinois

  dba ACCESS Behavioral Health

  • Adult Mental Health Clinic/Center
  • Orland Park, IL
  • NPI 1770949661
  NPD tax ID

Locations

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1699372250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18230 ORLAND PKWY",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675688",
            "telephone_number": "708-294-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 REYNOLDS DR",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202411",
            "telephone_number": "708-429-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTF ILLINOIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CTF ILLINOIS",
        "enumeration_date": "2020-10-07",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "CODY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "708-429-1260"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTF Illinois -Reynolds MH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CTF Illinois -Reynolds MH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Covenant Care Hilltop, LLC (Hilltop Skilled Nursing and Rehabilitation Center)
• Virginia Alberta Croft, SLP
• Hannah Crowley
• Brittany Nicole Crum
• CTF Illinois (ACCESS Behavioral Health)
• Corey Marie Cunningham, MS LCPC
• Madissen Kailyn Davis, ATC
• Noah Mikael Davis, MS, LAT, ATC
• Melissa N Degiorgis, MSW
• Michael Parrish Dellinger, MHP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charleston, IL
• Providers in Charleston, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.