NPIMap

Organization Active NPI

Family Service and Mental Health Center of Cicero

  • Community/Behavioral Health Agency
  • Oak Park, IL
National Provider Identifier
1265705990
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO
Practice address
320 Lake St
Oak Park, IL 60302-2612
Phone
(708) 848-0528
Fax
(708) 848-5855
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Lorena Navarrete
Title
Office Manager
Phone
(708) 656-6430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL Primary
Voluntary or Charitable Agency 251V00000X IL

Addresses

Primary practice location

320 Lake St
Oak Park, IL 60302-2612

Mailing address

5341 W Cermak Rd
Cicero, IL 60804-2817
Phone (708) 656-6430

Other identifiers 1

IdentifierTypeStateIssuer
1617631OtherILBLUE CROSS BLUE SHIELD OF IL

National Provider Directory

National Provider Directory
Tax ID family
Family SVC Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1265705990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042817",
            "telephone_number": "708-656-6430",
            "fax_number": "708-656-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022612",
            "telephone_number": "708-848-0528",
            "fax_number": "708-848-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-656-6430"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IL",
            "identifier": "1617631",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.