NPIMap

Organization Active NPI

I Am Able Center for Family Development, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1700894979
Registry record updated Sep 14, 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
I AM ABLE CENTER FOR FAMILY DEVELOPMENT, INC.
Practice address
3410 W Roosevelt Rd
Chicago, IL 60624-4343
Phone
(773) 826-2929
Fax
(773) 826-2964
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dr. Carolyn L. Vessel, BA, MSHSA, M-DIV.,DD
Title
Ceo/President
Phone
(773) 840-8061

Specialties & licenses 1

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

Addresses

Primary practice location

3410 W Roosevelt Rd
Chicago, IL 60624-4343

Mailing address

3410 West Roosevelt Road
Chicago, IL 60624-4343
Phone (773) 826-2929

National Provider Directory

National Provider Directory
Tax ID family
I Am Able Center for Family Development3 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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1700894979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WEST ROOSEVELT ROAD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244343",
            "telephone_number": "773-826-2929",
            "fax_number": "773-826-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244343",
            "telephone_number": "773-826-2929",
            "fax_number": "773-826-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM ABLE CENTER FOR FAMILY DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "VESSEL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "773-840-8061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BA, MSHSA, M-DIV.,DD"
    },
    "taxonomies": [
        {
            "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 Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.