Chicago Mental Health Day Program and Wellness Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0360919742 Issued in IL

Legal business name

CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC

Doing business as

DBA - Chicago Behavioral Health

Practice address

8926 Greenwood
Suite 167
Niles, IL 60714

Phone

(773) 699-8992

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINICAs reported in NPPES

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

Authorized official

Name

Nicholas Paponos, MD

Title

Medical Director/Director of Clinic

Phone

(773) 237-8722

Specialties & licenses 1

Addresses

Other names 1

• DBA - Chicago Behavioral Health Doing business as

Part of

Chicago Mental HLTH We

Locations

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1053559898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 GREENWOOD AVENUE",
            "address_2": "SUITE 167",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "773-699-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 GREENWOOD",
            "address_2": "SUITE 167",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "773-699-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO MENTAL HEALTH DAY PROGRAM AND WELLNESS CLINIC",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "PAPONOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/DIRECTOR OF CLINIC",
        "authorized_official_telephone_number": "773-237-8722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "0360919742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA - Chicago Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hyun C Chang, PHARMD
• Andre Pierrie Chatman, LCPC, CCMHC, CRADC
• Wei-Chiung Chen-Martinez, LCPC
• Chicago Home Health, Inc. (Alyce Adult Day Care and Inhome Service)
• Chicago Medical Imaging Inc
• Chicago My Optical, Inc (Chicago My Optical)
• Chicagoland Foot and Ankle, PC
• Chicagoland Hearing (Chicagoland Audibel)
• Children's & Adolescent Dentistry, LTD
• Chislof Chiropractic Center, P.C.

• Family Medicine Physician in Niles, IL
• Providers in Niles, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.