Association House of Chicago

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ASSOCIATION HOUSE OF CHICAGO

Practice address

1116 N. Kedzie Avenue
Chicago, IL 60651

Phone

(773) 772-8004

Fax

(773) 772-1752

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Harriet Sadauskas

Title

President

Phone

(773) 772-7170

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Association House of CH5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Association House of Chicago

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
  • NPI 1740438613
  NPD tax ID
• Association House of Chicago

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chicago, IL
  • NPI 1851741888
  NPD tax ID
• Association House of Chicago

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chicago, IL
  • NPI 1891045241
  NPD tax ID
• Association House of Chicago-Dulcinea

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1285892018
  NPD tax ID

Practitioners 1

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

• Janneth Jaramillo, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1932287315
  Medicare reassignment NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1124076419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N. KEDZIE AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60651",
            "telephone_number": "773-772-8004",
            "fax_number": "773-772-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N. KEDZIE AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60651",
            "telephone_number": "773-772-8004",
            "fax_number": "773-772-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION HOUSE OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "SADAUSKAS",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-772-7170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associates in Primary Care, SC
• Associates in Pulmonary & Critical Care LTD
• Associates in Urology, LTD
• Association for Multicultural Behavioral Health, LLC
• Association for Womens Healthcare, LTD
• Association House of Chicago
• Association House of Chicago
• Association House of Chicago
• Association House of Chicago-Dulcinea
• Catherine Assouline, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.