NPIMap

Organization Active NPI

Envision Unlimited

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1619574803
Registry record updated Oct 1, 2020
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
ENVISION UNLIMITED
Practice address
2124 W 82ND PL
Chicago, IL 60620-5358
Phone
(312) 346-6230
NPI assigned
Oct 1, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ENVISION UNLIMITEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Natalie Blider
Title
Dir. of RCM
Phone
(773) 769-4313

Specialties & licenses 1

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

Addresses

Primary practice location

2124 W 82ND PL
Chicago, IL 60620-5358

Mailing address

5080 N Elston Ave
Chicago, IL 60630-2459
Phone (773) 506-3014

National Provider Directory

National Provider Directory
Tax ID family
Envision Unlimited Foster Care Program25 organizations share this tax ID, including this one
Part of
Envision Unlimited Foster Care Program

Other organizations with this tax ID 24

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

View all 24

Locations

2124 W 82nd Pl
Chicago, IL 60620
Phone (312) 346-6230

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1619574803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302459",
            "telephone_number": "773-506-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 W 82ND PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205358",
            "telephone_number": "312-346-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION UNLIMITED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENVISION UNLIMITED",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "BLIDER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "DIR. OF RCM",
        "authorized_official_telephone_number": "773-769-4313"
    },
    "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 1, 2020; 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.