Active NPI
Laynie Foundation, Incorporated
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1558890889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2B05-IPI170 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Laynie Foundation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Matteson, IL
- NPI 1790076628
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Matteson, IL
- NPI 1932442571
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.