Center for Grief and Traumatic Loss, LLC
NPI 1366655813 · Clinical Psychologist · Libertyville, IL
Center for Grief and Traumatic Loss, LLC is a Clinical Psychologist organization in Libertyville, IL (NPI 1366655813).
Provider details
- NPI number
- 1366655813
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Allan Botkin, Director(847) 680-0279
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Center for Grief and Traumatic Loss, LLC's NPI number?
- Center for Grief and Traumatic Loss, LLC's National Provider Identifier (NPI) is 1366655813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Grief and Traumatic Loss, LLC?
- Center for Grief and Traumatic Loss, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Center for Grief and Traumatic Loss, LLC located?
- Center for Grief and Traumatic Loss, LLC's practice location on file with NPPES is 1144 Harms Ave, Libertyville, IL 60048-2524.
- What is Center for Grief and Traumatic Loss, LLC's phone number?
- The practice phone number listed in the NPPES registry for Center for Grief and Traumatic Loss, LLC is (847) 680-0279.
- Who is the authorized official for Center for Grief and Traumatic Loss, LLC?
- The authorized official listed on Center for Grief and Traumatic Loss, LLC's NPPES record is Allan Botkin, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Grief and Traumatic Loss, LLC's NPI active?
- Yes — Center for Grief and Traumatic Loss, LLC's NPI (1366655813) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.