NPIMap

Organization Active NPI

Ucp Seguin of Greater Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cicero, IL
National Provider Identifier
1649404716
Registry record updated Jun 13, 2023
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
UCP SEGUIN OF GREATER CHICAGO
Practice address
3100 S Central Ave
Cicero, IL 60804-3956
Phone
(708) 222-4248
Fax
(708) 222-0478
NPI assigned
May 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Mr. Thomas Leonard Foley
Title
Senior Vice President
Phone
(708) 222-4248

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Foster Care Agency 253J00000X
In Home Supportive Care Agency 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3100 S Central Ave
Cicero, IL 60804-3956

Mailing address

3100 S Central Ave
Cicero, IL 60804-3956
Phone (708) 222-4248

National Provider Directory

National Provider Directory
Tax ID family
Seguin Service Inc3 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

3100 S Central Ave
Cicero, IL 60804
Phone (708) 222-4890

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1649404716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S CENTRAL AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043956",
            "telephone_number": "708-222-4248",
            "fax_number": "708-222-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S CENTRAL AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043956",
            "telephone_number": "708-222-4248",
            "fax_number": "708-222-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCP SEGUIN OF GREATER CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "708-222-4248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.