Organization Active NPI

Adler University

Doing business as Adler Community Health Services

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1609203454
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
ADLER UNIVERSITY
Doing business as
Adler Community Health Services
Practice address
17 N Dearborn St
Chicago, IL 60602-4310
Phone
(312) 662-4000
Fax
(312) 662-4097
NPI assigned
Oct 10, 2013
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Kevin A Osten-Garner, PSY.D.
Title
Executive Director
Phone
(312) 662-4205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

17 N Dearborn St
Chicago, IL 60602-4310

Mailing address

17 N Dearborn St
Chicago, IL 60602-4310
Phone (312) 662-4000

Other names 1

  • Adler Community Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adler Community Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

17 N Dearborn St
Chicago, IL 60602
Phone (312) 662-4000

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1609203454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024310",
            "telephone_number": "312-662-4000",
            "fax_number": "312-662-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024310",
            "telephone_number": "312-662-4000",
            "fax_number": "312-662-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADLER UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "OSTEN-GARNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "312-662-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adler Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 13, 2016; 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.