Organization Active NPI

Depaul Family & Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1083759534
Registry record updated Nov 22, 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
DEPAUL FAMILY & COMMUNITY SERVICES
Practice address
2247 N Halsted St RM 100
Chicago, IL 60614-6585
Phone
(773) 325-7780
NPI assigned
Feb 21, 2007
Organization subpart
Yes
Parent organization
DEPAUL UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Julie D Brosnan, PSY.D.NPI 1336261353
Title
Director
Phone
(773) 325-7780

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 IL Primary

Addresses

Primary practice location

2247 N Halsted St RM 100
Chicago, IL 60614-6585

Mailing address

2247 N Halsted St RM 100
Chicago, IL 60614-6585
Phone (773) 325-7780

Other names 1

  • DePaul University Community Mental Health Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Depaul Family Community Services3 organizations share this tax ID, including this one
Part of
Depaul Family Community Services

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2247 N Halsted St
Rm 100
Chicago, IL 60614
Phone (773) 325-7780

2247 N Halsted St
Ste 100
Chicago, IL 60614

Practitioners & affiliated clinicians

Practitioners 4

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1083759534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 N HALSTED ST RM 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146585",
            "telephone_number": "773-325-7780",
            "fax_number": "773-325-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 N HALSTED ST RM 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146585",
            "telephone_number": "773-325-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL FAMILY & COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPAUL UNIVERSITY",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "BROSNAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-325-7780",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DePaul University Community Mental Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 22, 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.