NPIMap

Organization Active NPI

Mosaic Childhood Project, Inc.

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1851381909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOSAIC CHILDHOOD PROJECT, INC.
Practice address
525 W Aldine Ave
604
Chicago, IL 60657-3775
Phone
(773) 575-6215
NPI assigned
Oct 27, 2005
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
Jessica Lara McCarthy, MS CCC/SLPNPI 1174559967
Title
Speech Language Pathologist
Phone
(773) 575-6215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X IL Primary

Addresses

Primary practice location

525 W Aldine Ave
604
Chicago, IL 60657-3775

Mailing address

525 W Aldine Ave
604
Chicago, IL 60657-3775
Phone (773) 575-6215

National Provider Directory

National Provider Directory
Tax ID family
Mosaic Childhood Project Inc2 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.

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851381909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W ALDINE AVE",
            "address_2": "604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573775",
            "telephone_number": "773-575-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W ALDINE AVE",
            "address_2": "604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573775",
            "telephone_number": "773-575-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC CHILDHOOD PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LARA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "773-575-6215",
        "authorized_official_credential": "MS CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "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 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.