Active NPI
Chicago Addiction Services
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1508108044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.