Chicago Mental and Life Wellbeing Institute

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHICAGO MENTAL AND LIFE WELLBEING INSTITUTE

Practice address

8547 S Stony Island Ave
Chicago, IL 60617-2249

Phone

(773) 569-0791

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Tanisha Hines

Title

Administrator

Phone

(773) 569-0791

Specialties & licenses 1

Addresses

Tax ID family

Chicago Mental and Life Wellbeing Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Chicago Mental and Life Wellness Institute

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1093423790
  NPD tax ID

Locations

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1225746415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 W 85TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523709",
            "telephone_number": "773-569-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8547 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172249",
            "telephone_number": "773-569-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MENTAL AND LIFE WELLBEING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-569-0791"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Medical Mobility Transportation Services
• Chicago Medical Physicians LLC
• Chicago Medical Supplies Enterprise Inc
• Chicago Medical Transportation
• Chicago Meg Center, LLC
• Chicago Mental and Life Wellness Institute
• Chicago Mental and Lifewellness Institute
• Chicago Midway Youth Center
• Chicago Mind Health Inc
• Chicago Mindful Psychotherapy, Inc.

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.