Organization Active NPI

Perinatal Mental Health Center of Chicago PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1043085962
Registry record updated Apr 17, 2024
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
PERINATAL MENTAL HEALTH CENTER OF CHICAGO PLLC
Practice address
3759 N Ravenswood Ave Ste 226C
Chicago, IL 60613-4088
Phone
(312) 487-1771
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Jennifer KostNPI 1326683624
Title
Founder
Phone
(312) 487-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3759 N Ravenswood Ave Ste 226C
Chicago, IL 60613-4088

Mailing address

3759 N Ravenswood Ave Ste 226C
Chicago, IL 60613-4088
Phone (312) 487-1771

National Provider Directory

National Provider Directory

Locations

3759 N Ravenswood Ave
Ste 226C
Chicago, IL 60613
Phone (312) 487-1771

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1043085962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 N RAVENSWOOD AVE STE 226C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134088",
            "telephone_number": "312-487-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 N RAVENSWOOD AVE STE 226C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134088",
            "telephone_number": "312-487-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL MENTAL HEALTH CENTER OF CHICAGO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "KOST",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "312-487-1771"
    },
    "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 Apr 17, 2024; 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.