Organization Active NPI

Core Therapy, Inc,

  • Behavior Analyst
  • West Dundee, IL
National Provider Identifier
1861995003
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28527 Issued in IL
Legal business name
CORE THERAPY, INC,
Practice address
533 S 5TH St
West Dundee, IL 60118-2842
Phone
(630) 621-0414
Fax
(630) 961-3499
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Natasha Ann Radnovich, BCBA - MEDNPI 1104333640
Title
President
Phone
(630) 621-0414

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
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-17-28527 IL Primary

Addresses

Primary practice location

533 S 5TH St
West Dundee, IL 60118-2842

Mailing address

533 S 5TH St
West Dundee, IL 60118-2842
Phone (630) 621-0414

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": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1861995003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S 5TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182842",
            "telephone_number": "630-621-0414",
            "fax_number": "630-961-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S 5TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182842",
            "telephone_number": "630-621-0414",
            "fax_number": "630-961-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE THERAPY, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "RADNOVICH",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-621-0414",
        "authorized_official_credential": "BCBA - MED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-17-28527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.