Organization Active NPI

American Social Services of Uptown Assu

Doing business as ASSU Community Mental Health & Partial Hospitalization

  • Local Education Agency (LEA)
  • Chicago, IL
National Provider Identifier
1801981501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
AMERICAN SOCIAL SERVICES OF UPTOWN ASSU
Doing business as
ASSU Community Mental Health & Partial Hospitalization
Practice address
4554 N Broadway Street
Suites 319 320
Chicago, IL 60640
Phone
(773) 506-0673
Fax
(773) 506-0676
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph S Tengbeh, MD
Title
President
Phone
(773) 506-0676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

4554 N Broadway Street
Suites 319 320
Chicago, IL 60640

Mailing address

PO Box 25135
Chicago, IL 60625
Phone (773) 506-0676

Other names 1

  • ASSU Community Mental Health & Partial Hospitalization Doing business as

National Provider Directory

National Provider Directory

Locations

4554 N Broadway St
Ste 319
Chicago, IL 60640
Phone (773) 506-0673

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801981501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25135",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-506-0676",
            "fax_number": "773-506-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 N BROADWAY STREET",
            "address_2": "SUITES 319 320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-506-0673",
            "fax_number": "773-506-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SOCIAL SERVICES OF UPTOWN ASSU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENGBEH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-506-0676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSU Community Mental Health & Partial Hospitalization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.