NPIMap

Organization Active NPI

Depaul Family & Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1285802025
Registry record updated Jul 25, 2008
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
DEPAUL FAMILY & COMMUNITY SERVICES
Practice address
811 W Evergreen Ave
102A
Chicago, IL 60622-2682
Phone
(312) 654-0450
NPI assigned
Feb 14, 2008
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Ms. Sheila C. Ribordy, PH.D.
Title
Director
Phone
(773) 325-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

811 W Evergreen Ave
102A
Chicago, IL 60622-2682

Mailing address

811 W Evergreen Ave
102A
Chicago, IL 60622-2682
Phone (312) 654-0450

Other names 1

  • DePaul University Community Mental Health Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Depaul Family Community Services3 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.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1285802025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W EVERGREEN AVE",
            "address_2": "102A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222682",
            "telephone_number": "312-654-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W EVERGREEN AVE",
            "address_2": "102A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222682",
            "telephone_number": "312-654-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL FAMILY & COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "RIBORDY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-325-7780",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DePaul University Community Mental Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 25, 2008; 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.