Childhood Trauma Treatment Program – Adolescent and Children Mental Health Clinic/Center, NPI 1881919488

Adolescent and Children Mental Health Clinic/Center

Childhood Trauma Treatment Program is a healthcare provider. based in Oak lawn, Illinois. specializing in Adolescent and Children Mental Health Clinic/Center. The NPI Number for Childhood Trauma Treatment Program is 1881919488

Main info

Organization

Name

Childhood Trauma Treatment Program

NPI

1881919488

Phone

(800) 216-1110

Address

4700 W 95TH ST

Authorized Official

DR. GENE S. CARROCCIA CLINICAL DIRECTOR PSY.D.

Enumeration Date

7 April 2010

Last Update Date

7 April 2010

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience47

Completeness80

Years active:16State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Childhood Trauma Treatment Program

West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60457, United States
LL5
OAK LAWN, IL 604532533
Phone: (800) 216-1110
Fax: (708) 346-4868
Type: Location
PO BOX 776
CHILDHOOD TRAUMA TREATMENT PROGRAM
OAK LAWN, IL 604540776
Phone: (800) 216-1110
Fax: (708) 346-4868
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60453)

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Reviews

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Frequently asked questions

Is Childhood Trauma Treatment Program listed with a National Provider Identifier?

Yes — Childhood Trauma Treatment Program has NPI 1881919488 on file in the registry.

Is there an active status for Childhood Trauma Treatment Program?

For scheduling context, Childhood Trauma Treatment Program is shown as active in the registry.

What clinical focus is listed for Childhood Trauma Treatment Program?

At a glance, Childhood Trauma Treatment Program is tied to Adolescent and Children Mental Health Clinic/Center. Clinical services aligned with this taxonomy classification.

Where in Illinois is Childhood Trauma Treatment Program registered?

Use Oak Lawn, Illinois as the headline location for Childhood Trauma Treatment Program here.

When was this NPI issued?

Enumeration for Childhood Trauma Treatment Program is noted as April 7, 2010 where the registry provides it.