CENTER FOR GRIEF AND TRAUMATIC LOSS, LLC
NPI 1366655813
Psychologist - Clinical in Libertyville, IL

Q: What is Center For Grief And Traumatic Loss, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 08, 2007

1144 HARMS AVE, LIBERTYVILLE, IL 60048(847) 680-0279 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Center For Grief And Traumatic Loss, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR GRIEF AND TRAUMATIC LOSS, LLC (NPI 1366655813) is a healthcare organization registered as a clinical in Libertyville, Illinois and active in the NPI registry since May 2007. The organization lists Allan L. Botkin, Director, as its authorized official.

NPPES Registry Identity

NPI1366655813

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCENTER FOR GRIEF AND TRAUMATIC LOSS, LLC

Location Address1144 HARMS AVELibertyville, IL 60048-2524

Mailing Address1144 Harms AveLibertyville, IL 60048-2524 · (847) 680-0279

Phone(847) 680-0279

Organization SubpartNo

Authorized OfficialAllan L. BotkinDirector · (847) 680-0279

Enumeration DateMay 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1366655813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1144 HARMS AVE, Libertyville, IL 60048

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Grief And Traumatic Loss, LLC's NPI number?

The NPI number for Center For Grief And Traumatic Loss, LLC is 1366655813. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Center For Grief And Traumatic Loss, LLC located?

Center For Grief And Traumatic Loss, LLC is located at 1144 Harms Ave, Libertyville, IL 60048. The listed phone number is (847) 680-0279.

What is Center For Grief And Traumatic Loss, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Center For Grief And Traumatic Loss, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.