NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1679951834
Registry record updated Jul 29, 2026
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
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Practice address
721 N la Salle Dr
Chicago, IL 60654-3751
Phone
(773) 349-8052
NPI assigned
May 8, 2015
Reactivated
May 31, 2023
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Ellen Tannenbaum
Title
Director Behavioral Health
Phone
(773) 551-3067

Specialties & licenses 1

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

Addresses

Primary practice location

721 N la Salle Dr
Chicago, IL 60654-3751

Mailing address

721 N la Salle Dr
Chicago, IL 60654-3751
Phone (312) 655-7725

Other identifiers 1

IdentifierTypeStateIssuer
04019MedicaidIL

Other names 1

  • Behavioral Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities11 organizations share this tax ID, including this one
Part of
Catholic Charities

Other organizations with this tax ID 6

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

Locations

721 N La Salle Dr
Chicago, IL 60654
Phone (312) 655-7167

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1679951834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N LA SALLE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543751",
            "telephone_number": "312-655-7725",
            "fax_number": "312-236-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N LA SALLE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543751",
            "telephone_number": "773-349-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "deactivation_date": "2023-05-12",
        "reactivation_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "773-551-3067"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Services",
            "code": "5",
            "type": "Other 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 Jul 29, 2026; 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.