Organization Active NPI

The Centre of Infinite Possibilities

  • Developmental Therapist
  • Chicago, IL
National Provider Identifier
1124594551
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
THE CENTRE OF INFINITE POSSIBILITIES
Practice address
2324 W Jackson Blvd
Chicago, IL 60612-2913
Phone
(773) 230-2304
Fax
(888) 974-1473
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Colette Gatling-Martin, M.S.
Title
Developmental Therapist/Parent Educ
Phone
(773) 230-2304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

2324 W Jackson Blvd
Chicago, IL 60612-2913

Mailing address

PO Box 7723
Chicago, IL 60680-7723
Phone (773) 230-2304

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1124594551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7723",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606807723",
            "telephone_number": "773-230-2304",
            "fax_number": "888-974-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122913",
            "telephone_number": "773-230-2304",
            "fax_number": "888-974-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTRE OF INFINITE POSSIBILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "GATLING-MARTIN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST/PARENT EDUC",
        "authorized_official_telephone_number": "773-230-2304",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 2018; 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.