Organization Active NPI

Cognitive Focus Centers, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1194372458
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COGNITIVE FOCUS CENTERS, INC.
Practice address
901 E 95TH St
Chicago, IL 60619
Phone
(412) 606-8214
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Kevin M Jordan
Title
Ceo
Phone
(412) 661-7790

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

901 E 95TH St
Chicago, IL 60619

Mailing address

901 E 95TH St
Chicago, IL 60619-7826
Phone (412) 606-8214

Other practice location 1

204 N Highland Ave
Pittsburgh, PA 15206-3026
Phone (412) 661-7790

Other practice location 2

400 W 95th St
Chicago, IL 60628-1120
Phone (412) 661-7790

Other practice location 3

400 W 95th St
Chicago, IL 60628-1120
Phone (412) 661-7790

Other practice location 4

400 W 95th St
Chicago, IL 60628-1120
Phone (412) 661-7790

Other practice location 5

901 E 95th St
Chicago, IL 60619-7826
Phone (412) 606-8214

Other identifiers 1

IdentifierTypeStateIssuer
1770869505MedicaidPA

National Provider Directory

National Provider Directory

Locations

400 W 95th St
Chicago, IL 60628
Phone (412) 661-7790

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1194372458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197826",
            "telephone_number": "412-606-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60619",
            "telephone_number": "412-606-8214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152063026",
            "country_code": "US",
            "telephone_number": "412-661-7790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606281120",
            "country_code": "US",
            "telephone_number": "412-661-7790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606281120",
            "country_code": "US",
            "telephone_number": "412-661-7790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606281120",
            "country_code": "US",
            "telephone_number": "412-661-7790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 E 95th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197826",
            "country_code": "US",
            "telephone_number": "412-606-8214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COGNITIVE FOCUS CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-661-7790"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770869505",
            "state": "PA"
        }
    ],
    "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 Dec 7, 2020; 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.