TODD & LEWIS-TODD, INC. - NPI NUMBER 1295903821

Summary

Provider Name: TODD & LEWIS-TODD, INC.

NPI Number: 1295903821

Clasification: Marriage & Family Therapist (106H00000X)

Address:
2010 E ALGONQUIN RD
SUITE 207
SCHAUMBURG, IL
ZIP 60173

Phone Number: (847) 485-8230



Detailed Information

TODD & LEWIS-TODD, INC. is a marriage & family therapist in Schaumburg, IL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. The assigned NPI number for this provider is 1295903821 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

2010 E ALGONQUIN RD
SUITE 207
SCHAUMBURG, IL
ZIP 60173-185
Phone: (847) 485-8230
Fax: (847) 701-0350

The provider's authorized official is Thomas C. Todd .
The authorized official title is President and has the following contact phone number (847) 475-5771.

The enumeration date for this NPI number is 2/17/2008 and was last updated on 8/17/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 106H00000X Marriage & Family Therapist 166000841 IL No
2 101YP2500X Counselor Professional 180.007717 IL No
3 103T00000X Psychologist 071003414 IL No
4 103TC0700X Psychologist Clinical 071003520 IL Yes

NPI Record

No. Field Name Field Value
1 NPI 1295903821
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name TODD & LEWIS-TODD, INC.
5 Provider First Line Business Practice Location Address 2010 E ALGONQUIN RD
6 Provider Second Line Business Practice Location Address SUITE 207
7 Provider Business Practice Location Address City Name SCHAUMBURG
8 Provider Business Practice Location Address State Name IL
9 Provider Business Practice Location Address Postal Code 601734185
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 8474858230
12 Provider Business Practice Location Address Fax Number 8477010350
13 Provider Enumeration Date 2/17/2008
14 Last Update Date 8/17/2011
15 Authorized Official Last Name TODD
16 Authorized Official First Name THOMAS
17 Authorized Official Middle Name C.
18 Authorized Official Title or Position PRESIDENT
19 Authorized Official Telephone Number 8474755771
20 Healthcare Provider Taxonomy Code 1 106H00000X
21 Provider License Number 1 166000841
22 Provider License Number State Code 1 IL
23 Healthcare Provider Primary Taxonomy Switch 1 N
24 Healthcare Provider Taxonomy Code 2 101YP2500X
25 Provider License Number 2 180.007717
26 Provider License Number State Code 2 IL
27 Healthcare Provider Primary Taxonomy Switch 2 N
28 Healthcare Provider Taxonomy Code 3 103T00000X
29 Provider License Number 3 071003414
30 Provider License Number State Code 3 IL
31 Healthcare Provider Primary Taxonomy Switch 3 N
32 Healthcare Provider Taxonomy Code 4 103TC0700X
33 Provider License Number 4 071003520
34 Provider License Number State Code 4 IL
35 Healthcare Provider Primary Taxonomy Switch 4 Y
36 Is Organization Subpart N
37 Authorized Official Name Prefix Text DR.
38 Authorized Official Credential Text PH. D.
39 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
40 Healthcare Provider Taxonomy Group 2 193200000X MULTI-SPECIALTY GROUP
41 Healthcare Provider Taxonomy Group 3 193200000X MULTI-SPECIALTY GROUP
42 Healthcare Provider Taxonomy Group 4 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.