NPIMap

Organization Active NPI

Safer Foundation

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1174003644
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SAFER FOUNDATION
Practice address
571 W Jackson Blvd
Chicago, IL 60661
Phone
(773) 320-7160
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Victor Dickson
Title
President and Ceo
Phone
(312) 922-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X IL Primary

Addresses

Primary practice location

571 W Jackson Blvd
Chicago, IL 60661

Mailing address

571 W Jackson Blvd
Chicago, IL 60661-5706
Phone (312) 922-2200

Other identifiers 1

IdentifierTypeStateIssuer
000000000MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Safer Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

571 W Jackson Blvd
Chicago, IL 60661
Phone (312) 922-2200

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1174003644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615706",
            "telephone_number": "312-922-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60661",
            "telephone_number": "773-320-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "312-922-2200"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "IL"
        }
    ],
    "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 Jan 11, 2022; 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.