NPIMap

Organization Active NPI

Rimya

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1891119590
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RIMYA
Practice address
2545 W Diversey Ave
Chicago, IL 60647-7172
Phone
(708) 465-1293
NPI assigned
Feb 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Ms. Julieta Prissell Perez, MSW, LCSWNPI 1588958128
Title
Ceo/Clinician
Phone
(708) 465-1293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Preferred Provider Organization 305R00000X 149016540 IL

Addresses

Primary practice location

2545 W Diversey Ave
Chicago, IL 60647-7172

Mailing address

2545 W Diversey Ave
Chicago, IL 60647-7172
Phone (708) 465-1293

Other identifiers 1

IdentifierTypeStateIssuer
149.016540OtherILLICENSE CLINICAL SOCIAL WORKER

National Provider Directory

National Provider Directory
Tax ID family
Rimya3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1392422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1891119590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477172",
            "telephone_number": "708-465-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477172",
            "telephone_number": "708-465-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIMYA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-15",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_middle_name": "PRISSELL",
        "authorized_official_title_or_position": "CEO/CLINICIAN",
        "authorized_official_telephone_number": "708-465-1293",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "149016540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE CLINICAL SOCIAL WORKER",
            "identifier": "149.016540",
            "state": "IL"
        }
    ],
    "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 Sep 6, 2016; 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.