Organization Active NPI

Chicago Addiction Services

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1508108044
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHICAGO ADDICTION SERVICES
Practice address
8601 W Bryn Mawr Ave
Suite 115
Chicago, IL 60631-3570
Phone
(561) 721-8800
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Mr. Timothy Loceff, MS
Title
Cbdo
Phone
(561) 306-1447

Specialties & licenses 1

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

Addresses

Primary practice location

8601 W Bryn Mawr Ave
Suite 115
Chicago, IL 60631-3570

Mailing address

2626 Lake Dr
Riviera Beach, FL 33404-3846
Phone (561) 721-8800

Other names 1

  • Ambrosia Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

8601 W Bryn Mawr Ave
Ste 115
Chicago, IL 60631
Phone (561) 721-8800

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1508108044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 LAKE DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043846",
            "telephone_number": "561-721-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 W BRYN MAWR AVE",
            "address_2": "SUITE 115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313570",
            "telephone_number": "561-721-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ADDICTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "LOCEFF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CBDO",
        "authorized_official_telephone_number": "561-306-1447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambrosia Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 22, 2013; 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.