NPIMap

Organization Active NPI

Association House of Chicago-Dulcinea

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1285892018
Registry record updated Jan 23, 2012
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
ASSOCIATION HOUSE OF CHICAGO-DULCINEA
Practice address
3264 W Cortland St
Chicago, IL 60647-3758
Phone
(773) 772-8009
Fax
(773) 292-5490
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Wanda Figueroa, PHED
Title
Behavioral Health Director
Phone
(773) 772-8009

Specialties & licenses 1

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

Addresses

Primary practice location

3264 W Cortland St
Chicago, IL 60647-3758

Mailing address

1116 N Kedzie Ave
Chicago, IL 60651-4152
Phone (773) 772-8009

National Provider Directory

National Provider Directory
Tax ID family
Association House of CH5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3264 W Cortland St
Chicago, IL 60647
Phone (773) 772-8009

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1285892018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514152",
            "telephone_number": "773-772-8009",
            "fax_number": "773-292-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 W CORTLAND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473758",
            "telephone_number": "773-772-8009",
            "fax_number": "773-292-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION HOUSE OF CHICAGO-DULCINEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "773-772-8009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 23, 2012; 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.