Organization Active NPI

Laynie Foundation, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1558890889
Registry record updated Jun 9, 2017
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
LAYNIE FOUNDATION, INCORPORATED
Practice address
230 East Ohio Street
Suite 112
Chicago, IL 60611
Phone
(312) 929-6860
Fax
(708) 617-8017
NPI assigned
Jun 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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

Authorized official

Name
Dr. Summer A Ewing, PHD
Title
C.O.O.
Phone
(708) 617-8548

Specialties & licenses 1

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

Addresses

Primary practice location

230 East Ohio Street
Suite 112
Chicago, IL 60611

Mailing address

230 East Ohio Street
Suite 112
Chicago, IL 60611
Phone (312) 929-6860

Other identifiers 1

IdentifierTypeStateIssuer
2B05-IPI170MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Laynie Foundation3 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.

Locations

230 E Ohio St
Ste 112
Chicago, IL 60611
Phone (312) 929-6860

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1558890889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 EAST OHIO STREET",
            "address_2": "SUITE 112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-929-6860",
            "fax_number": "708-617-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 EAST OHIO STREET",
            "address_2": "SUITE 112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-929-6860",
            "fax_number": "708-617-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYNIE FOUNDATION, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "708-617-8548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05-IPI170",
            "state": "IL"
        }
    ],
    "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 Jun 9, 2017; 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.