NPIMap

Organization Active NPI

North River Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1558799775
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTH RIVER MENTAL HEALTH CENTER
Practice address
5801 N Pulaski Rd
Chicago, IL 60646-6007
Phone
(312) 744-1906
NPI assigned
Oct 25, 2013
Last updated
Oct 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Katherine Crilley, LCSW
Title
Supervisor
Phone
(312) 742-5814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

5801 N Pulaski Rd
Chicago, IL 60646-6007

Mailing address

5801 N Pulaski Rd
Chicago, IL 60646-6007
Phone (312) 744-1906

National Provider Directory

National Provider Directory
Tax ID family
Chicago Dept of Health63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1558799775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466007",
            "telephone_number": "312-744-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466007",
            "telephone_number": "312-744-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "CRILLEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "312-742-5814",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "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 Oct 25, 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.