Organization Active NPI

Suzanne Gass LCSW, PC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1942473715
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149010414 Issued in IL
Legal business name
SUZANNE GASS LCSW, PC
Practice address
5100 N Ravenswood Ave # 203
Chicago, IL 60640-1710
Phone
(773) 490-9643
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Suzanne GassNPI 1942324165
Title
President
Phone
(773) 490-9643

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149010414 IL Primary

Addresses

Primary practice location

5100 N Ravenswood Ave # 203
Chicago, IL 60640-1710

Mailing address

2539 Hurd Ave
Evanston, IL 60201-1205
Phone (773) 490-9643

National Provider Directory

National Provider Directory

Locations

5100 N Ravenswood Ave
Ste 203
Chicago, IL 60640
Phone (312) 927-0049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1942473715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 HURD AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011205",
            "telephone_number": "773-490-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE # 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401710",
            "telephone_number": "773-490-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE GASS LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "GASS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-490-9643"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149010414",
            "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 May 18, 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.