NPIMap

Organization Active NPI

Safer Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1932786324
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAFER FOUNDATION
Practice address
808 S Kedzie Ave
Chicago, IL 60612-3929
Phone
(773) 265-0423
Fax
(773) 887-2456
NPI assigned
Mar 24, 2021
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Rucha Shastri, LCPC
Title
Avp, Behavioral Health
Phone
(773) 831-9131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

808 S Kedzie Ave
Chicago, IL 60612-3929

Mailing address

571 W Jackson Blvd
Chicago, IL 60661-5701
Phone (312) 922-2000

National Provider Directory

National Provider Directory
Tax ID family
Safer Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

808 S Kedzie Ave
Chicago, IL 60612
Phone (773) 265-0423

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1932786324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615701",
            "telephone_number": "312-922-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123929",
            "telephone_number": "773-265-0423",
            "fax_number": "773-887-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "SHASTRI",
        "authorized_official_first_name": "RUCHA",
        "authorized_official_title_or_position": "AVP, BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "773-831-9131",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "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 Jan 11, 2022; 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.