NPIMap

Organization Active NPI

Bobby E Wright CBHC, Inc

  • Developmentally Disabled Services Day Training Agency
  • Chicago, IL
National Provider Identifier
1508220088
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BOBBY E WRIGHT CBHC, INC
Practice address
5090 W Harrison St
Chicago, IL 60644-5141
Phone
(773) 722-7900
Fax
(773) 722-0644
NPI assigned
Apr 11, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Simone Edwards
Title
Cfo
Phone
(773) 722-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IL Primary

Addresses

Primary practice location

5090 W Harrison St
Chicago, IL 60644-5141

Mailing address

5002 W Madison St
Chicago, IL 60644-4127
Phone (773) 722-7900

National Provider Directory

National Provider Directory
Tax ID family
Bobby E Wright Comprehensive Behavioral Health Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508220088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444127",
            "telephone_number": "773-722-7900",
            "fax_number": "773-722-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445141",
            "telephone_number": "773-722-7900",
            "fax_number": "773-722-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY E WRIGHT CBHC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-722-7900"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": null,
            "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 Jul 21, 2022; 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.