NPIMap

Organization Active NPI

Sga Youth & Family Services

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1568605665
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SGA YOUTH & FAMILY SERVICES
Practice address
420 W. 111TH St
Chicago, IL 60628
Phone
(773) 629-6171
Fax
(773) 941-5027
NPI assigned
Apr 20, 2009
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Ronald Migalski, LCSW
Title
Vice President of Programs
Phone
(312) 447-4364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

420 W. 111TH St
Chicago, IL 60628

Mailing address

420 W. 111TH St
Chicago, IL 60628
Phone (773) 629-6171

Other names 1

  • Scholarship and Guidance Association Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Scholarship and Guidance Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 W 111th St
Chicago, IL 60628
Phone (773) 629-6171

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1568605665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W. 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-629-6171",
            "fax_number": "773-941-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W. 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-629-6171",
            "fax_number": "773-941-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGA YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "MIGALSKI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROGRAMS",
        "authorized_official_telephone_number": "312-447-4364",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scholarship and Guidance Association",
            "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 Mar 3, 2014; 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.