Elite Community Mental Health Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELITE COMMUNITY MENTAL HEALTH CENTER

Practice address

1834 W 95TH St
Chicago, IL 60643-1104

Phone

(773) 349-4022

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Syed H Khadri

Title

Partner

Phone

(773) 349-4022

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Richenel Samuel Ellecom, PSY.D; DR.P.H

  • Registered Dietitian
  • Willow Brook, IL
  • NPI 1063406569
  NPD (past)
• Syed Yousuf Khadri, M.D.

  • Psychiatry Physician
  • Willow Brook, IL
  • NPI 1154377836
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194779181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 W 95TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-349-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431104",
            "telephone_number": "773-349-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHADRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-349-4022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Ochoa DDS LTD
• Elisabeth I. Wallner, M.D., S.C.
• Elise E. Rehn, MD, LLC
• Elite Anesthesia Group Inc.
• Elite City Transit, Inc.
• Elite Dental LTD
• Elite Dermatology PLLC
• Elite Eye Care, LLC
• Elite Healthcare
• Elite Impact LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

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