NPIMap

Organization Active NPI

Little City Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1225364078
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LITTLE CITY FOUNDATION
Practice address
700 N Sacramento Blvd
Chicago, IL 60612-1046
Phone
(773) 265-2539
Fax
(773) 265-1755
NPI assigned
Oct 29, 2009
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Shawn Jeffers
Title
Executive Director
Phone
(847) 358-5510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Community/Behavioral Health Agency 251S00000X 3B00-IPI-053 IL

Addresses

Primary practice location

700 N Sacramento Blvd
Chicago, IL 60612-1046

Mailing address

700 N Sacramento Blvd
Chicago, IL 60612-1046
Phone (773) 265-2539

National Provider Directory

National Provider Directory
Tax ID family
Little City Foundation23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

700 N Sacramento Blvd
Ste 201
Chicago, IL 60612
Phone (773) 265-1539

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1225364078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N SACRAMENTO BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121046",
            "telephone_number": "773-265-2539",
            "fax_number": "773-265-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N SACRAMENTO BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121046",
            "telephone_number": "773-265-2539",
            "fax_number": "773-265-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE CITY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-358-5510"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "3B00-IPI-053",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 5, 2021; 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.