Active NPI
The Thresholds
Doing business as Southside Housing Calumet House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- THE THRESHOLDS
- Practice address
- 3650 S Calumet Ave
Chicago, IL 60653-1104 - Phone
- (773) 572-5500
- NPI assigned
- Aug 27, 2008
- Last updated
- Jul 14, 2022
- Organization subpart
- Yes
- Parent organization
- THE THRESHOLDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Klauer
- Title
- Executive Assistant
- Phone
- (773) 572-5480
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
3650 S Calumet Ave
Chicago, IL 60653-1104
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04133 | Medicaid | IL |
Other names 1
- Southside Housing Calumet House
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040517000766 | IL | Part B Supplier - Clinic/Group Practice | 6204826647 |
Receives reassigned benefits from 36 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Thresholds West Suburbs
- Part of
- Thresholds West Suburbs
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Deaf California House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1790931079
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1790931095
-
dba Young Adult Program and Loren Juhl School
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1801609052
-
- Community/Behavioral Health Agency
- Glenview, IL
- NPI 1821244138
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1821644147
-
dba Bridge Southeast
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1831520261
-
dba Northside Housing Carroll House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1851548077
-
dba Thresholds Center for Mental Wellbeing - Kankakee
- Substance Use Disorder Rehabilitation Clinic/Center
- Kankakee, IL
- NPI 1861268807
-
- Community/Behavioral Health Agency
- Skokie, IL
- NPI 1871749192
-
dba North Suburbs Morton Grove Group Home
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morton Grove, IL
- NPI 1881049781
-
dba Southside Housing Vincennes House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1881841187
-
dba Kankakee Main Offices
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kankakee, IL
- NPI 1881841310
Locations
3650 S Calumet Ave
Chicago, IL 60653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1891942322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132193",
"telephone_number": "773-572-5500",
"fax_number": "773-537-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 S CALUMET AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606531104",
"telephone_number": "773-572-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2008-08-27",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "KLAUER",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "773-572-5480"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04133",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southside Housing Calumet House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southside Housing Calumet House",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- The Thresholds
- The Thresholds (Bridge Southeast)
- The Thresholds (Northside Housing Carroll House)
- The Thresholds
- The Thresholds (Southside Housing Vincennes House)
- The Thresholds (Southside Housing Woodlawn House)
- The Thresholds
- The Thresholds
- The Thresholds (Young Adult Program James House)
- The Thresholds (Northside Housing Penn House)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.