Active NPI
Ucan
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1346803111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- UCAN
- Practice address
- 212 S Francisco Ave
Chicago, IL 60612-3618 - Phone
- (773) 696-3210
- Fax
- (773) 217-9364
- NPI assigned
- Apr 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zack Schrantz
- Title
- President/Ceo
- Phone
- (773) 588-0180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
212 S Francisco Ave
Chicago, IL 60612-3618
Mailing address
3605 W Fillmore St
Chicago, IL 60624-4310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2B05-CHR-011 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Ucan
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Chicago, IL
- NPI 1124476726
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1356385199
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1447584990
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Riverdale, IL
- NPI 1568796001
Locations
212 S Francisco Ave
Chicago, IL 60612
Phone (773) 722-7440
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1023780640
-
- Social Worker
- Chicago, IL
- NPI 1568137438
-
- Social Worker
- Chicago, IL
- NPI 1447928080
-
- Professional Counselor
- Chicago, IL
- NPI 1053961524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555459200000",
"number": "1346803111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 W FILLMORE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606244310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S FRANCISCO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123618",
"telephone_number": "773-696-3210",
"fax_number": "773-217-9364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UCAN",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A",
"authorized_official_last_name": "SCHRANTZ",
"authorized_official_first_name": "ZACK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "773-588-0180"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2B05-CHR-011",
"state": "IL"
}
],
"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 Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.