Organization Active NPI

Forward, P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1295754190
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
FORWARD, P.C.
Practice address
3265 W Armitage Ave
Chicago, IL 60647-3759
Phone
(773) 862-4675
Fax
(773) 862-4685
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Dr. Carlos A. Plazas, PH.D.
Title
President
Phone
(773) 862-4675

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 071-002365 IL
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3265 W Armitage Ave
Chicago, IL 60647-3759

Mailing address

3303 Grove Ave
Unit 604
Berwyn, IL 60402-3432
Phone (708) 749-0540

Other names 1

  • Forward, P.C. of Illinois Other name

National Provider Directory

National Provider Directory

Locations

3265 W Armitage Ave
Chicago, IL 60647
Phone (773) 862-4675

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1295754190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 GROVE AVE",
            "address_2": "UNIT 604",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023432",
            "telephone_number": "708-749-0540",
            "fax_number": "708-749-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473759",
            "telephone_number": "773-862-4675",
            "fax_number": "773-862-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "PLAZAS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-862-4675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-002365",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forward, P.C. of Illinois",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Forward, P.C. of Illinois",
            "code": "5",
            "type": "Other 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 Jun 25, 2020; 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.