Open Wings Learning Community

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

071-006306 Issued in IL

Legal business name

OPEN WINGS LEARNING COMMUNITY

Practice address

778 W Frontage Rd
Ste. 123
Northfield, IL 60093-1209

Phone

(312) 587-1742

Fax

(312) 376-1047

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Daniels, PH.D.

Title

Clinical Director

Phone

(312) 587-1742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1386906139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD",
            "address_2": "STE. 123",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "312-587-1742",
            "fax_number": "312-376-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD",
            "address_2": "STE. 123",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "312-587-1742",
            "fax_number": "312-376-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN WINGS LEARNING COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "312-587-1742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "071-006306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ochoa
• Daniel Shin Oh, DDS
• Emily Margaret Oliver
• Marilyn B Omahen, L.C.S.W., R.D.D.P.
• Joan Russler Oneill
• Ostara Psychotherapy Associates
• Danah Marie Ouimette, MAED, ATC
• Jeena J Padath, M.D
• Debby Padzensky
• Amanda Pahlow

• Adolescent and Children Mental Health Clinic/Center in Northfield, IL
• Providers in Northfield, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.