Organization Active NPI

Universal Family Connection, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1780816488
Registry record updated Jan 5, 2021
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
UNIVERSAL FAMILY CONNECTION, INC.
Practice address
1350 W 103Rd St
Chicago, IL 60643-2302
Phone
(773) 881-1711
Fax
(773) 881-3124
NPI assigned
Aug 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Rodney Harris, PHY.D.
Title
Chief Operating Officer
Phone
(773) 881-1711

Specialties & licenses 1

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

Addresses

Primary practice location

1350 W 103Rd St
Chicago, IL 60643-2302

Mailing address

1350 W 103Rd St
Chicago, IL 60643-2302
Phone (773) 881-1711

Other practice location 1

7949 S Western Ave
Chicago, IL 60620-5941
Phone (773) 925-0900 ext. 104

National Provider Directory

National Provider Directory
Tax ID family
Universal Family Connection Inc3 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.

Locations

7949 S Western Ave
Chicago, IL 60620
Phone 7739250900 ext. 104

1350 W 103rd St
Chicago, IL 60643
Phone (773) 881-1711

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1780816488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432302",
            "telephone_number": "773-881-1711",
            "fax_number": "773-881-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432302",
            "telephone_number": "773-881-1711",
            "fax_number": "773-881-3124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7949 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606205941",
            "country_code": "US",
            "telephone_number": "773-925-0900 x104",
            "fax_number": "773-925-7215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSAL FAMILY CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "773-881-1711",
        "authorized_official_credential": "PHY.D."
    },
    "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 Jan 5, 2021; 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.