NPIMap

Organization Active NPI

Ucan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1356385199
Registry record updated Dec 5, 2016
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
UCAN
Practice address
10046 S. Western Ave.
Chicago, IL 60643
Phone
(773) 588-0180
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Mr. Jonathan Stacy
Title
Executive Assistant
Phone
(773) 588-0180

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Public Health or Welfare Agency 251K00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10046 S. Western Ave.
Chicago, IL 60643

Mailing address

3605 W. Fillmore
Chicago, IL 60624-4301
Phone (773) 588-0180

Other names 1

  • Uhlich Children's Advantage Network Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Ucan6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

  • Ucan
    • Emotionally Disturbed Childrens' Residential Treatment Facility
    • Chicago, IL
    • NPI 1124476726
    NPD tax ID
  • Ucan
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Chicago, IL
    • NPI 1346803111
    NPD tax ID
  • Ucan
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Chicago, IL
    • NPI 1447584990
    NPD tax ID
  • Ucan
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Riverdale, IL
    • NPI 1568796001
    NPD tax ID
  • Uhlich Children'S Advantage Network
    • Foster Care Agency
    • Chicago, IL
    • NPI 1710211917
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1356385199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 W. FILLMORE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244301",
            "telephone_number": "773-588-0180",
            "fax_number": "773-826-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10046 S. WESTERN AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-588-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "773-588-0180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uhlich Children's Advantage Network",
            "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 Dec 5, 2016; 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.