CHILDHOOD TRAUMA TREATMENT PROGRAM
NPI 1881919488
Clinic/Center - Adolescent and Children Mental Health in Oak Lawn, IL

NPI Status: Active since April 07, 2010

Contact Information

4700 W 95TH ST
LL5
OAK LAWN, IL
ZIP 60453
Phone: (800) 216-1110
Fax: (708) 346-4868

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About CHILDHOOD TRAUMA TREATMENT PROGRAM

This page provides the complete NPI Profile along with additional information for Childhood Trauma Treatment Program, a provider established in Oak Lawn, Illinois operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1881919488 assigned on April 2010. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Childhood Trauma Treatment Program. The authorized official of this NPI record is Dr. Gene S. Carroccia Psy.d. (Clinical Director)

NPI
1881919488
Provider Legal Name
CHILDHOOD TRAUMA TREATMENT PROGRAM OF ADVOCATE HEALTH & HOSPITALS CORP
Other Organization Name
CHILDHOOD TRAUMA TREATMENT PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4700 W 95TH ST LL5 OAK LAWN, IL 60453
Location Phone
(800) 216-1110
Location Fax
(708) 346-4868
Mailing Address
PO BOX 776 CHILDHOOD TRAUMA TREATMENT PROGRAM OAK LAWN, IL 60454
Mailing Phone
(800) 216-1110
Mailing Fax
(708) 346-4868
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-07-2010
Last Update Date
04-07-2010
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GENE S. CARROCCIA PSY.D.

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(800) 216-1110

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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 1881919488, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 1 + 8 + 1 + 1 + 8 + 4 + 1 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1881919488.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
4700 W 95TH ST, SUITE 103
OAK LAWN, IL 60453
Pediatrics
4700 W 95TH ST, SUITE # LL2
OAK LAWN, IL 60453
Physical Therapist
4700 W 95TH ST
OAK LAWN, IL 60453
Physical Therapist
4700 W 95TH ST
OAK LAWN, IL 60453
Physical Therapist
4700 W 95TH ST
OAK LAWN, IL 60453
Clinic/Center (Primary Care)
4700 W 95TH ST, SUITE 103
OAK LAWN, IL 60453
Obstetrics & Gynecology
4700 W 95TH ST, SUITE 209
OAK LAWN, IL 60453
Nurse Practitioner (Obstetrics & Gynecology)
4700 W 95TH ST, SUITE 303
OAK LAWN, IL 60453
Surgery
4700 W 95TH ST, STE 308
OAK LAWN, IL 60453
Surgery
4700 W 95TH ST, STE 308
OAK LAWN, IL 60453
Surgery
4700 W 95TH ST, STE 308
OAK LAWN, IL 60453
Counselor (Professional)
4700 W 95TH ST, LL5
OAK LAWN, IL 60453
Counselor (Addiction (Substance Use Disorder))
4700 W 95TH ST, SUITE LL5
OAK LAWN, IL 60453
Social Worker (Clinical)
4700 W 95TH ST, SUITE 104
OAK LAWN, IL 60453
Internal Medicine
4700 W 95TH ST, SUITE 206
OAK LAWN, IL 60453
Psychologist (Clinical)
4700 W 95TH ST, SUITE LL5
OAK LAWN, IL 60453
Counselor (Mental Health)
4700 W 95TH ST, SUITE LL5
OAK LAWN, IL 60453
Clinic/Center (Mental Health (Including Community Mental Health Center))
4700 W 95TH ST, SUITE LOWER LEVEL 5
OAK LAWN, IL 60453
Clinic/Center (Primary Care)
4700 W 95TH ST, SUITE LL2
OAK LAWN, IL 60453
Pharmacy
4700 W 95TH ST, SUITE 101
OAK LAWN, IL 60453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881919488, enumerated as an "organization" on April 07, 2010.

The provider is located at 4700 W 95TH ST LL5 OAK LAWN, IL 60453 and the phone number is (800) 216-1110.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.