Organization Active NPI

African American Christian Foundation

  • Public Health or Welfare Agency
  • Oak Park, IL
National Provider Identifier
1801556964
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
AFRICAN AMERICAN CHRISTIAN FOUNDATION
Practice address
6707 North Ave
Oak Park, IL 60302-1006
Phone
(708) 848-1700
Fax
(708) 848-3710
NPI assigned
Dec 29, 2021
Last updated
Jan 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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

Authorized official

Name
Gladys Gyabaah Gyabaah, PHD
Title
Psychlogist
Phone
(773) 867-0635

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Nursing Care Agency 251J00000X NU
Public Health or Welfare Agency 251K00000X NU Primary
Migrant Health Clinic/Center 261QM1000X NU
Military Hospital 286500000X NU
Psychiatric Residential Treatment Facility 323P00000X NU
Secured Medical Transport (VAN) 343800000X NU
Emergency Response System Companies 333300000X NU
Foster Care Agency 253J00000X NU
Mail Order Pharmacy 3336M0002X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

6707 North Ave
Oak Park, IL 60302-1006

Mailing address

6707 North Ave
Oak Park, IL 60302-1006
Phone (708) 848-1700

Other names 1

  • KAM INSTITUTE OF TECHNOLOGY Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address g.gyabaah@direct.kamithclinic.org Direct
Direct Messaging Address g.gyabaah@direct.kamithclinic.org Direct
Direct Messaging Address g.gyabaah@direct.kamithclinic.org Direct

National Provider Directory

National Provider Directory

Locations

6707 North Ave
Oak Park, IL 60302
Phone (708) 848-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641081600000",
    "number": "1801556964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021006",
            "telephone_number": "708-848-1700",
            "fax_number": "708-848-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021006",
            "telephone_number": "708-848-1700",
            "fax_number": "708-848-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFRICAN AMERICAN CHRISTIAN FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A",
        "authorized_official_last_name": "GYABAAH",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "GYABAAH",
        "authorized_official_title_or_position": "PSYCHLOGIST",
        "authorized_official_telephone_number": "773-867-0635",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.gyabaah@direct.kamithclinic.org",
            "affiliation": "N",
            "endpointDescription": "Health insurance, Medicare and Medicaid, and life insurance information.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6707 North Ave",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603021006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.gyabaah@direct.kamithclinic.org",
            "affiliation": "N",
            "endpointDescription": "To provide services in case management, social work, veterans,  etc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6707 North Ave",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603021006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "g.gyabaah@direct.kamithclinic.org",
            "affiliation": "N",
            "endpointDescription": "Healthcare services, Nursing training, youth homeless services and administrative services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6707 North Ave",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603021006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KAM INSTITUTE OF TECHNOLOGY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KAM INSTITUTE OF TECHNOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.