ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM
NPI 1215429527
Clinic/Center - Adolescent and Children Mental Health in Bolingbrook, IL
NPI Status: Active since June 01, 2018
Contact Information
440 QUADRANGLE DR STE K
BOLINGBROOK, IL
ZIP 60440
Phone: (800) 216-1110
Fax: (708) 346-4868
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- CLIA Number: 14D2094789
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-22-2027
About ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM
This page provides the complete NPI Profile along with additional information for Advocate Childhood Trauma Treatment Program, a provider established in Bolingbrook, Illinois operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1215429527 assigned on June 2018. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Advocate Childhood Trauma Treatment Program. The authorized official of this NPI record is Carol Hooker (Office Manager/credentialing)
- NPI
- 1215429527
- Provider Legal Name
- ADVOCATE HEALTH AND HOPSITALS CORPORATION
- Other Organization Name
- ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 440 QUADRANGLE DR STE K BOLINGBROOK, IL 60440
- Location Phone
- (800) 216-1110
- Location Fax
- (708) 346-4868
- Mailing Address
- 4700 W 95TH ST OAK LAWN, IL 60453
- Mailing Phone
- (708) 346-3010
- Mailing Fax
- (708) 346-4868
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-01-2018
- Last Update Date
- 06-01-2018
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 01-01-1984 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM has an ownership type of Non-profit
- The facility received it's medicare certification date on 01-01-1984
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 99 |
| Brain disease or condition (non-traumatic) | 43 |
| Brain injury (traumatic) | 39 |
| Hip or femur fracture | 15 |
| Hip or knee replacement, amputation or other bone or joint condition | 30 |
| Nervous system disorder (excluding stroke) | 19 |
| Spinal cord disease or condition (non-traumatic) | 53 |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 191 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2094789
- Facility Type
- Hospital
- Certificate Effective Date
- April 23, 2025
- Certificate Expiration Date
- April 22, 2027
- Laboratory Director
- ANDREA BLUMSTEIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Advocate Childhood Trauma Treatment Program in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215429527, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BOLINGBROOK, IL 60440
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215429527, enumerated as an "organization" on June 01, 2018.
The provider is located at 440 QUADRANGLE DR STE K BOLINGBROOK, IL 60440 and the phone number is (800) 216-1110.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
