NPIMap

Organization Active NPI

Beacon Therapeutic School, Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1245528710
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEACON THERAPEUTIC SCHOOL, INC.
Doing business as
Beacon Therapeutic Diagnostic Treatment Center
Practice address
11740 S Western Ave
Chicago, IL 60643-4732
Phone
(773) 233-3821
Fax
(773) 298-1078
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Ms. Cheryl Thompson
Title
Deputy Ceo
Phone
(773) 298-1243

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04011 IL
Adolescent and Children Mental Health Clinic/Center 261QM0855X 04011 IL

Addresses

Primary practice location

11740 S Western Ave
Chicago, IL 60643-4732

Mailing address

10650 S Longwood Dr
Chicago, IL 60643-2617
Phone (773) 881-1005

Other names 1

  • Beacon Therapeutic Diagnostic Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon Therapeutic Diagnostic Treatment Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

11740 S Western Ave
Chicago, IL 60643
Phone (312) 241-3761

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": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1245528710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 S LONGWOOD DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432617",
            "telephone_number": "773-881-1005",
            "fax_number": "773-881-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434732",
            "telephone_number": "773-233-3821",
            "fax_number": "773-298-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON THERAPEUTIC SCHOOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DEPUTY CEO",
        "authorized_official_telephone_number": "773-298-1243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04011",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "04011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Therapeutic Diagnostic Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 6, 2017; 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.