Organization Active NPI

Mental Health Professional Solutions, Inc.

  • Health Maintenance Organization
  • Chicago, IL
National Provider Identifier
1386041192
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MENTAL HEALTH PROFESSIONAL SOLUTIONS, INC.
Practice address
2565 W 79TH St
Chicago, IL 60652-1729
Phone
(773) 848-1222
Fax
(773) 737-0401
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Mrs. Brenda Joyce Golden
Title
President
Phone
(773) 848-1222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2565 W 79TH St
Chicago, IL 60652-1729

Mailing address

2565 W 79TH St
Chicago, IL 60652-1729
Phone (773) 848-1222

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Professional Solutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1386041192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521729",
            "telephone_number": "773-848-1222",
            "fax_number": "773-737-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521729",
            "telephone_number": "773-848-1222",
            "fax_number": "773-737-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH PROFESSIONAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-848-1222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 21, 2014; 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.