NPIMap

Organization Active NPI

I Am Able Center for Family Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1386062214
Registry record updated Sep 14, 2020
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
I AM ABLE CENTER FOR FAMILY DEVELOPMENT
Practice address
3408 W Roosevelt Rd
Chicago, IL 60624-4338
Phone
(773) 826-2929
Fax
(773) 826-2966
NPI assigned
Mar 28, 2014
Organization subpart
Yes
Parent organization
I AM ABLE CENTER FOR FAMILY DEVELOPMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dr. Carolyn L Vessel
Title
Ceo/President
Phone
(773) 826-2929

Specialties & licenses 1

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

Addresses

Primary practice location

3408 W Roosevelt Rd
Chicago, IL 60624-4338

Mailing address

3408 W Roosevelt Rd
Chicago, IL 60624-4338
Phone (773) 826-2929

Other identifiers 1

IdentifierTypeStateIssuer
2A00-IPI-183MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
I Am Able Center for Family Development3 organizations share this tax ID, including this one
Part of
I Am Able Center for Family Development

Other organizations with this tax ID 2

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

Locations

3408 W Roosevelt Rd
Chicago, IL 60624
Phone (773) 741-9314

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1386062214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244338",
            "telephone_number": "773-826-2929",
            "fax_number": "773-826-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244338",
            "telephone_number": "773-826-2929",
            "fax_number": "773-826-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM ABLE CENTER FOR FAMILY DEVELOPMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I AM ABLE CENTER FOR FAMILY DEVELOPMENT",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "VESSEL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "773-826-2929",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "2A00-IPI-183",
            "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 Sep 14, 2020; 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.