NPIMap

Organization Active NPI

Primo Center for Women and Children

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1699065813
Registry record updated Dec 28, 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
PRIMO CENTER FOR WOMEN AND CHILDREN
Practice address
6212 S Sangamon St
Chicago, IL 60621-2006
Phone
(773) 826-7991
Fax
(773) 471-6099
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Ms. Christine Marie Achre, LCPCNPI 1568752780
Title
Ceo
Phone
(773) 722-0544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180005578 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6212 S Sangamon St
Chicago, IL 60621-2006

Mailing address

6212 S Sangamon St
Chicago, IL 60621-2006
Phone (773) 826-7991

Other names 1

  • Urban Family & Community Centers Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Primo Center for Women and Children2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4241 W Washington Blvd
Chicago, IL 60624
Phone (773) 722-0544

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1699065813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 S SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212006",
            "telephone_number": "773-826-7991",
            "fax_number": "773-471-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 S SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212006",
            "telephone_number": "773-826-7991",
            "fax_number": "773-471-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO CENTER FOR WOMEN AND CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "ACHRE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-722-0544",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180005578",
            "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": [
        {
            "organization_name": "Urban Family & Community Centers",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Urban Family & Community Centers",
            "code": "4",
            "type": "Former Legal Business 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 Dec 28, 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.