Organization Active NPI

Amaryllis Wellness Services, Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1467817262
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149015273 Issued in IL
Legal business name
AMARYLLIS WELLNESS SERVICES, INC.
Practice address
1136 S Delano CT W
Suite B201
Chicago, IL 60605-3740
Phone
(312) 572-9780
NPI assigned
Dec 21, 2015
Last updated
Dec 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Joyce R Weston, LCSWNPI 1700211034
Title
Ceo
Phone
(312) 572-9780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149015273 IL Primary

Addresses

Primary practice location

1136 S Delano CT W
Suite B201
Chicago, IL 60605-3740

Mailing address

1136 S Delano CT W
Suite B201
Chicago, IL 60605-3740
Phone (312) 572-9780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1467817262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W",
            "address_2": "SUITE B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053740",
            "telephone_number": "312-572-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W",
            "address_2": "SUITE B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053740",
            "telephone_number": "312-572-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARYLLIS WELLNESS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-572-9780",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149015273",
            "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 Dec 21, 2015; 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.