Active NPI
Reality Talk, Inc
- Adult Mental Health Clinic/Center
- Chicago, IL
National Provider Identifier
1073804720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 036-085290
- Legal business name
- REALITY TALK, INC
- Practice address
- 1808 S State St
Chicago, IL 60616-1611 - Phone
- (312) 949-1340
- Fax
- (312) 949-1348
- NPI assigned
- Apr 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane Washington, M.D.
- Title
- President
- Phone
- (630) 328-3571
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 036-085290 | IL | |
| Adult Mental Health Clinic/Center | 261QM0850X | 036-085290 | IL | Primary |
Addresses
Primary practice location
1808 S State St
Chicago, IL 60616-1611
Mailing address
1507 E 53Rd St
#275
Chicago, IL 60615-4573
Phone (630) 328-3571
National Provider Directory
National Provider DirectoryLocations
1507 E 53rd St
Ste 275
Chicago, IL 60615
1507 E 53rd St
#275
Chicago, IL 60615
Phone (224) 270-3183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303948800000",
"number": "1073804720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 E 53RD ST",
"address_2": "#275",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154573",
"telephone_number": "630-328-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161611",
"telephone_number": "312-949-1340",
"fax_number": "312-949-1348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REALITY TALK, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-328-3571",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": "036-085290",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "036-085290",
"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 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.