Road Home Program-Center for Veterans and Their Families at Rush

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ROAD HOME PROGRAM-CENTER FOR VETERANS AND THEIR FAMILIES AT RUSH

Practice address

1645 W Jackson Blvd
Suite 602
Chicago, IL 60612-3276

Phone

(312) 942-8387

Fax

(312) 942-8374

NPI assigned

Feb 6, 2014

Organization subpart

Yes

Parent organization

RUSH UNIVERSITY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Brian T Smith

Title

Vice President

Phone

(312) 942-6909

Specialties & licenses 1

Addresses

Part of

University Anesthesiologists SC

Locations

Practitioners 3

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

• Emily Wolodiger, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Chicago, IL
  • NPI 1811532880
  NPD
• Megan Donahue, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1871954727
  NPD (past)
• Ashlee Nicole Taylor, LSW

  • Social Worker
  • Chicago, IL
  • NPI 1750054433
  NPD (past)

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1205250511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-8387",
            "fax_number": "312-942-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-8387",
            "fax_number": "312-942-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD HOME PROGRAM-CENTER FOR VETERANS AND THEIR FAMILIES AT RUSH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "312-942-6909"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Denise Roach
• Heloisa G. R. Roach
• Jasmine Roach
• Kaitlin Roach, ALMFT
• Roache & Associates
• Rachel Roadruck, CRNA
• Roamers Therapy LLC
• Laila L Robateau, NP
• Sophia Robb, LSW
• Nathan Robbel

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.