Organization Active NPI

Dynamics of Life

  • Adult Mental Health Clinic/Center
  • Harvey, IL
National Provider Identifier
1861434177
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DYNAMICS OF LIFE
Practice address
14618 Lincoln Ave
Harvey, IL 60426-1610
Phone
(708) 596-5405
NPI assigned
Jun 12, 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
Jerry Jones
Title
Owner
Phone
(708) 596-5405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X IL Primary

Addresses

Primary practice location

14618 Lincoln Ave
Harvey, IL 60426-1610

Mailing address

14618 Lincoln Ave
Harvey, IL 60426-1610

National Provider Directory

National Provider Directory

Locations

14618 Lincoln Ave
Harvey, IL 60426
Phone (708) 331-8474

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861434177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 LINCOLN AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14618 LINCOLN AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261610",
            "telephone_number": "708-596-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMICS OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-596-5405"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, 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.