Universal Family Connection, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

UNIVERSAL FAMILY CONNECTION, INC.

Practice address

1350 W 103Rd St
Chicago, IL 60643-2302

Phone

(773) 881-1711

Fax

(773) 881-3124

NPI assigned

Aug 28, 2019

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney Harris, PSY.D.

Title

Chief Operating Officer

Phone

(773) 881-1711

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Universal Family Connection Inc3 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.

• Universal Family Connection, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1780816488
  NPD tax ID
• Universal Family Connection, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1790373702
  NPD tax ID

Locations

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1336797844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432302",
            "telephone_number": "773-881-1711",
            "fax_number": "773-881-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432302",
            "telephone_number": "773-881-1711",
            "fax_number": "773-881-3124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7949 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606205941",
            "country_code": "US",
            "telephone_number": "773-925-0900 x104",
            "fax_number": "773-925-7215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSAL FAMILY CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "773-881-1711",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A794900001A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unity Neuropsychology, PLLC
• Unity Parenting and Counseling, Inc.
• Univ. of Illinois at Chicago
• Univeristy of Chicago Hospitals
• Universal Family Connection
• Universal Family Connection, Inc.
• Universal Family Connection, Inc.
• Universal Gastroenterologists, LTD.
• Universal Health Institute, LTD
• Universal Health, LTD

• Substance Use Disorder Rehabilitation Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.