Organization Active NPI

Paulette Toburen

Doing business as Institute for Family Development

  • Psychologist
  • Orland Park, IL
National Provider Identifier
1740308493
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PAULETTE TOBUREN
Doing business as
Institute for Family Development
Practice address
15010 S Ravinia Ave
Suite 19
Orland Park, IL 60462-3162
Phone
(708) 403-3200
NPI assigned
Mar 27, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Elizabeth Zavodny, PSY.D.
Title
Clinical Director
Phone
(708) 403-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

15010 S Ravinia Ave
Suite 19
Orland Park, IL 60462-3162

Mailing address

PO Box 1145
Orland Park, IL 60462-8145
Phone (708) 403-3200

Other names 1

  • Institute for Family Development Doing business as

National Provider Directory

National Provider Directory

Locations

15010 S Ravinia Ave
Ste 19
Orland Park, IL 60462
Phone (708) 403-3200

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1740308493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604628145",
            "telephone_number": "708-403-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 19",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "708-403-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE TOBUREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ZAVODNY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "708-403-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Family Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.