Anchor Behavioral Centers Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.017479 Issued in IL

Legal business name

ANCHOR BEHAVIORAL CENTERS INC.

Practice address

111 E Chestnut St
#48C
Chicago, IL 60611-2051

Phone

(312) 254-5035

Fax

(312) 275-7775

NPI assigned

Nov 18, 2015

Organization subpart

No

Name

Nicole Montalvo Nelson, LCSW

Title

Substance Abuse Counselor/Owner

Phone

(312) 254-5035

Organizations that report the same tax identification number in the National Provider Directory.

• Anchor Behavioral Centers, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
  • NPI 1700222429
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2015.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1003280744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W MONROE ST",
            "address_2": "#920",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034901",
            "telephone_number": "312-254-5035",
            "fax_number": "312-275-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CHESTNUT ST",
            "address_2": "#48C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112051",
            "telephone_number": "312-254-5035",
            "fax_number": "312-275-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR BEHAVIORAL CENTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MONTALVO",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR/OWNER",
        "authorized_official_telephone_number": "312-254-5035",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anc Counseling
• Basava Ancha, MD
• Bhargavi Devi Ancha, MD
• Anupama R Anchala, MD
• Jonathan J Ancheta, PHARMD
• Anchor Behavioral Centers, Inc.
• Anchored in Wellness Chicago LLC
• Anchored Therapy, LLC
• And Rise Women Inc.
• Anda Therapy Group, PLLC

• All providers in Chicago, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.