Organization Active NPI

Jewish Child & Family Services

  • Community/Behavioral Health Agency
  • Northbrook, IL
National Provider Identifier
1497178909
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JEWISH CHILD & FAMILY SERVICES
Practice address
255 Revere Dr
Northbrook, IL 60062-1564
Phone
(847) 412-4331
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Michael Matt
Title
Accounts Recieverable
Phone
(312) 673-2703

Specialties & licenses 1

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

Addresses

Primary practice location

255 Revere Dr
Northbrook, IL 60062-1564

Mailing address

425 W Surf St
Apt 115
Chicago, IL 60657-6450
Phone (314) 620-8181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1497178909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W SURF ST",
            "address_2": "APT 115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576450",
            "telephone_number": "314-620-8181"
        },
        {
            "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": "847-412-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH CHILD & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "MATT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ACCOUNTS RECIEVERABLE",
        "authorized_official_telephone_number": "312-673-2703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Feb 4, 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.