Active NPI
The Centre of Infinite Possibilities
- Developmental Therapist
- Chicago, IL
National Provider Identifier
1124594551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 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 DirectoryNPI 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": []
}
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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.