Organization Active NPI

The B.R.a.N.C.H

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1669625398
Registry record updated Oct 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149.012615 Issued in IL
Legal business name
THE B.R.A.N.C.H
Practice address
500 E 33Rd St
801
Chicago, IL 60616-4056
Phone
(312) 213-0138
NPI assigned
Oct 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2008

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

Authorized official

Name
Ms. Denise Schaffer, LCSW
Title
Owner
Phone
(312) 213-0138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149.012615 IL Primary

Addresses

Primary practice location

500 E 33Rd St
801
Chicago, IL 60616-4056

Mailing address

500 East 33Rd Street
801
Chicago, IL 60616
Phone (312) 213-0138

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224979200000",
    "number": "1669625398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EAST 33RD STREET",
            "address_2": "801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "312-213-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 33RD ST",
            "address_2": "801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164056",
            "telephone_number": "312-213-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE B.R.A.N.C.H",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-26",
        "last_updated": "2008-10-26",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-213-0138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.012615",
            "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 26, 2008; 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.