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

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 Field Definition 1
1 NPI 1295903821 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name TODD & LEWIS-TODD, INC. The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 2010 E ALGONQUIN RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address SUITE 207 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name SCHAUMBURG The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name IL The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 601734185 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 8474858230 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 8477010350 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 2/17/2008 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 8/17/2011 The date that a record was last updated or changed.
15 Authorized Official Last Name TODD The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name THOMAS The first name of the authorized official.
17 Authorized Official Middle Name C. The middle name of the authorized official.
18 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
19 Authorized Official Telephone Number 8474755771 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 106H00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Provider License Number 1 166000841 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
22 Provider License Number State Code 1 IL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Healthcare Provider Primary Taxonomy Switch 1 N
24 Healthcare Provider Taxonomy Code 2 101YP2500X
25 Provider License Number 2 180.007717 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
26 Provider License Number State Code 2 IL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
27 Healthcare Provider Primary Taxonomy Switch 2 N
28 Healthcare Provider Taxonomy Code 3 103T00000X
29 Provider License Number 3 071003414 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
30 Provider License Number State Code 3 IL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
31 Healthcare Provider Primary Taxonomy Switch 3 N
32 Healthcare Provider Taxonomy Code 4 103TC0700X
33 Provider License Number 4 071003520 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
34 Provider License Number State Code 4 IL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
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: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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