NPIMap

Organization Active NPI

Chicago City of

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1093715237
Registry record updated Oct 28, 2022
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
CHICAGO CITY OF
Practice address
333 S State St
Revenue #200
Chicago, IL 60604-3900
Phone
(312) 747-9443
Fax
(312) 747-9447
NPI assigned
Jul 29, 2005
Organization subpart
Yes
Parent organization
CHICAGO CITY OFAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Joyce Morris
Title
Projects Administrator
Phone
(312) 747-9545

Specialties & licenses 1

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

Addresses

Primary practice location

333 S State St
Revenue #200
Chicago, IL 60604-3900

Mailing address

333 S State St
Revenue #200
Chicago, IL 60604-3900
Phone (312) 747-9443

Other identifiers 1

IdentifierTypeStateIssuer
EINMedicaidIL

Other names 3

  • Chicago Department of Public Health Doing business as
  • City of Chicago Department of Public Health Doing business as
  • CDPH Other name

National Provider Directory

National Provider Directory
Tax ID family
Austin Satellite Senior Center63 organizations share this tax ID, including this one
Part of
Austin Satellite Senior Center

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1093715237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S STATE ST",
            "address_2": "REVENUE #200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043900",
            "telephone_number": "312-747-9443",
            "fax_number": "312-747-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S STATE ST",
            "address_2": "REVENUE #200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043900",
            "telephone_number": "312-747-9443",
            "fax_number": "312-747-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CITY OF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO CITY OF",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PROJECTS ADMINISTRATOR",
        "authorized_official_telephone_number": "312-747-9545"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EIN",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Chicago Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CDPH",
            "code": "5",
            "type": "Other 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 Oct 28, 2022; 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.