Childrens Advocate

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CHILDRENS ADVOCATE

Practice address

2517 Athens Rd
Olympia Fields, IL 60461-1955

Phone

(708) 743-9090

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Reenee Jackson

Title

Owner

Phone

(708) 743-9090

Specialties & licenses 3

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reenee Jackson-Hill, ABA

  • Behavior Analyst
  • Olympia Fields, IL
  • NPI 1982295457
  NPD
• James Jr Broadnax

  • Mental Health Counselor
  • Olympia Fields, IL
  • NPI 1346834926

  Behavior Analyst

  NPD (past)
• Margaret Kelly, LCSW

  • Clinical Social Worker
  • Olympia Fields, IL
  • NPI 1508454901
  NPD (past)

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1104489244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 ATHENS RD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 ATHENS RD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611955",
            "telephone_number": "708-743-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Lincoln Mall Dr Ste 407",
            "address_purpose": "LOCATION",
            "city": "Matteson",
            "state": "IL",
            "postal_code": "604433821",
            "country_code": "US",
            "telephone_number": "708-573-1800",
            "fax_number": "708-283-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDRENS ADVOCATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "REENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-743-9090"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naina Chandan, DO
• Bampen Charo, MD
• Chauffeured Seniors
• Chicago Hearing LLC
• Chicago Psychological Services, Inc.
• Gabriel Michael Chimera, DO
• Shaunda P Chin-Bonds, DO
• Chiro One Wellness Center of Flossmoor LLC
• Chiro One Wellness Center of Olympia Fields
• Courtney Chmieleski

• Behavior Analyst in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.