Organization Active NPI

Assisted Awareness

  • Community/Behavioral Health Agency
  • Plainfield, IL
National Provider Identifier
1780985358
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
071008003 Issued in IL
Legal business name
ASSISTED AWARENESS
Practice address
24123 W Lockport St
Unit 101
Plainfield, IL 60544-2863
Phone
(815) 436-1101
Fax
(815) 436-1121
NPI assigned
Nov 12, 2010
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. Richard D Travis, PSY. D., LCPNPI 1902989122
Title
License Clinical Psychologist
Phone
(815) 436-1101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 071008003 IL Primary

Addresses

Primary practice location

24123 W Lockport St
Unit 101
Plainfield, IL 60544-2863

Mailing address

24123 W Lockport St
Unit 101
Plainfield, IL 60544-2863
Phone (815) 436-1101

National Provider Directory

National Provider Directory

Locations

24123 W Lockport St
Apt 101
Plainfield, IL 60544
Phone (815) 436-1101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1780985358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 W LOCKPORT ST",
            "address_2": "UNIT 101",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442863",
            "telephone_number": "815-436-1101",
            "fax_number": "815-436-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 W LOCKPORT ST",
            "address_2": "UNIT 101",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442863",
            "telephone_number": "815-436-1101",
            "fax_number": "815-436-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED AWARENESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSE CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-436-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D., LCP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071008003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.