NPIMap

Organization Active NPI

Jewish Child and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northbrook, IL
National Provider Identifier
1376832220
Registry record updated Sep 23, 2024
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
JEWISH CHILD AND FAMILY SERVICES
Practice address
255 Revere Dr
Northbrook, IL 60062-1564
Phone
(847) 412-4350
NPI assigned
Mar 31, 2011
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JEWISH CHILD AND FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Vincent Everson
Title
Cfo
Phone
(312) 673-2714

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

255 Revere Dr
Northbrook, IL 60062-1564

Mailing address

255 Revere Dr
Northbrook, IL 60062-1564

National Provider Directory

National Provider Directory
Tax ID family
Jewish Child Family Services16 organizations share this tax ID, including this one
Part of
Jewish Child Family Services

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1376832220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621564",
            "telephone_number": "847-412-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH CHILD AND FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWISH CHILD AND FAMILY SERVICES",
        "enumeration_date": "2011-03-31",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-673-2714"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "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": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.