NPIMap

Organization Active NPI

Leyden Family Service & Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harwood Heights, IL
National Provider Identifier
1023102712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
04089 Issued in IL
Legal business name
LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER
Practice address
4600 N. Harlem
Harwood Heights, IL 60706
Phone
(708) 867-6886
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Doona Chiariello Santoro, MSW, LCSW
Title
Coo
Phone
(847) 843-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04089 IL Primary

Addresses

Primary practice location

4600 N. Harlem
Harwood Heights, IL 60706

Mailing address

4600 N. Harlem
Harwood Heights, IL 60706
Phone (708) 867-6886

Other identifiers 1

IdentifierTypeStateIssuer
01618936OtherILBLUE CROSS/BLUE SHIELD ID

Other names 1

  • Norwood Park Township Family Service Other name

National Provider Directory

National Provider Directory
Tax ID family
Leyden Family Service Mental Health Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

4600 N Harlem Ave
Harwood Heights, IL 60706
Phone (708) 867-6886

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023102712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N. HARLEM",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "60706",
            "telephone_number": "708-867-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N. HARLEM",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "60706",
            "telephone_number": "708-867-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "DOONA",
        "authorized_official_middle_name": "CHIARIELLO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "847-843-4919",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "01618936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwood Park Township Family Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harwood Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.