Organization Active NPI

Reality Talk, Inc

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1073804720
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
036-085290 Issued in IL
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

Updated by the provider on Apr 28, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.