Ucan

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

UCAN

Practice address

3640 W Fillmore St
Chicago, IL 60624-4309

Phone

(773) 588-0180

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Jonathan Stacy

Title

Executive Assistant

Phone

(773) 588-0180

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Uhlich Childrens Advantage Network Former legal business name

Tax ID family

Ucan6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Ucan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1346803111
  NPD tax ID
• Ucan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1356385199
  NPD tax ID
• Ucan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1447584990
  NPD tax ID
• Ucan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverdale, IL
  • NPI 1568796001
  NPD tax ID
• Uhlich Children'S Advantage Network

  • Foster Care Agency
  • Chicago, IL
  • NPI 1710211917
  NPD tax ID

Practitioners 2

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

• Melissa Aparicio

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1972247674
  NPD (past)
• Jordan Sayers

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1235715897
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1124476726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 W FILLMORE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244310",
            "telephone_number": "773-588-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 W FILLMORE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244309",
            "telephone_number": "773-588-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "773-588-0180"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05CHR011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uhlich Childrens Advantage Network",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sukhdeep S Ubhi, O.D.
• Joscelyn Ublasi
• David Joseph Ubogy, M.D., M.A.
• UC Anesthesia LLC
• Ucan
• Ucan
• Ucan
• Ucan
• Uche Olekanma M.D S.C
• Eugenia Uche-Anya

• Emotionally Disturbed Childrens' Residential Treatment Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.