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
1699009092
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
License
04019 Issued in IL
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Practice address
6202 S Halsted St
Chicago, IL 60621-2029
Phone
(312) 655-7984
NPI assigned
Oct 1, 2009
Reactivated
Oct 17, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 04019 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04019 IL Primary

Addresses

Primary practice location

6202 S Halsted St
Chicago, IL 60621-2029

Mailing address

721 N la Salle Dr
Chicago, IL 60654-3503

Other identifiers 1

IdentifierTypeStateIssuer
0039714330OtherILDCFS-MEDICAID

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.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1699009092",
    "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": "606543503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212029",
            "telephone_number": "312-655-7984"
        }
    ],
    "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": "2009-10-01",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "deactivation_date": "2023-05-12",
        "reactivation_date": "2023-10-17",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "04019",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCFS-MEDICAID",
            "identifier": "0039714330",
            "state": "IL"
        }
    ],
    "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 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.