NPIMap

Organization Active NPI

Establishing, Managing and Generating Effective Services

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1497933881
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A-5889-0001-A Issued in IL
Legal business name
ESTABLISHING, MANAGING AND GENERATING EFFECTIVE SERVICES
Practice address
110 E. 79TH Street
Chicago, IL 60619-2302
Phone
(773) 224-7683
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Hattie Wash, PSY D
Title
Chief Executive Officer
Phone
(312) 613-2846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A-5889-0001-A IL Primary

Addresses

Primary practice location

110 E. 79TH Street
Chicago, IL 60619-2302

Mailing address

110 E. 79TH Street
Chicago, IL 60619-2302
Phone (773) 224-7685

National Provider Directory

National Provider Directory
Tax ID family
Emages 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": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1497933881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E. 79TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192302",
            "telephone_number": "773-224-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E. 79TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192302",
            "telephone_number": "773-224-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTABLISHING, MANAGING AND GENERATING EFFECTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "WASH",
        "authorized_official_first_name": "HATTIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "312-613-2846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-5889-0001-A",
            "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 Feb 7, 2008; 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.