Gold Coast Clinical Associates Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

036098130 Issued in IL

Legal business name

GOLD COAST CLINICAL ASSOCIATES INC

Practice address

845 N Michigan Ave
Suite 917W
Chicago, IL 60611-2252

Phone

(312) 291-8063

Fax

(312) 291-8369

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Babatunde Gbolade Okuleye, M.D, MBA

Title

President

Phone

(773) 350-0020

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1891065025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 917W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252",
            "telephone_number": "312-291-8063",
            "fax_number": "312-291-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 917W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252",
            "telephone_number": "312-291-8063",
            "fax_number": "312-291-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST CLINICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "OKULEYE",
        "authorized_official_first_name": "BABATUNDE",
        "authorized_official_middle_name": "GBOLADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-350-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036098130",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "036098130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Goland, M.D.
• Serge Alexander Golber, M.D.
• Gold Body Medspa PLLC
• Gold Coast Anesthesia PLLC
• Gold Coast Bariatrics LLC
• Gold Coast Diagnostic Services, Inc.
• Gold Coast Gynecology Surgery SC
• Gold Coast Internal Medicine
• Gold Coast Orthopaedic and Spine Surgery S C
• Gold Coast Orthopaedic and Spine Surgery SC

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.