NPIMap

Organization Active NPI

Outreach Youth & Family Services

  • Early Intervention Provider Agency
  • Chicago, IL
National Provider Identifier
1538453113
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
OUTREACH YOUTH & FAMILY SERVICES
Practice address
9443 S Throop St
Chicago, IL 60620-3625
Phone
(773) 840-4497
Fax
(773) 905-1369
NPI assigned
Jun 1, 2011
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Mr. Eddie J Phillips
Title
Executive Director
Phone
(773) 840-4497

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X IL
Developmentally Disabled Services Day Training Agency 251C00000X IL
Early Intervention Provider Agency 252Y00000X IL Primary
Community/Behavioral Health Agency 251S00000X IL

Addresses

Primary practice location

9443 S Throop St
Chicago, IL 60620-3625

Mailing address

9443 S Throop St
Chicago, IL 60620-3625
Phone (773) 840-4497

Other names 1

  • Outreach Youth Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Outreach Youth Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1538453113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9443 S THROOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203625",
            "telephone_number": "773-840-4497",
            "fax_number": "773-905-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9443 S THROOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203625",
            "telephone_number": "773-840-4497",
            "fax_number": "773-905-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-840-4497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Youth Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 1, 2011; 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.