Organization Active NPI

Medrano and Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1023735164
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MEDRANO AND ASSOCIATES
Practice address
564 W Randolph St
Chicago, IL 60661-2218
Phone
(708) 990-0796
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Dian Medrano
Title
Therapist
Phone
(708) 990-0796

Specialties & licenses 1

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

Addresses

Primary practice location

564 W Randolph St
Chicago, IL 60661-2218

Mailing address

1134 W Granville Ave Apt 820
Chicago, IL 60660-5050

National Provider Directory

National Provider Directory

Locations

564 W Randolph St
Chicago, IL 60661
Phone (708) 990-0796

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1023735164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 W GRANVILLE AVE APT 820",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612218",
            "telephone_number": "708-990-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRANO AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "DIAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-990-0796"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.