Organization Active NPI

Sunflower Clinical Group LTD

  • Adult Mental Health Clinic/Center
  • Evanston, IL
National Provider Identifier
1962386730
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SUNFLOWER CLINICAL GROUP LTD
Practice address
1740 Ridge Ave Ste Ll15A
Evanston, IL 60201-5919
Phone
(312) 877-9411
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Jacob Hogan, LCSWNPI 1083139554
Title
Founder and Chief Psychotherapist
Phone
(312) 877-9411

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1740 Ridge Ave Ste Ll15A
Evanston, IL 60201-5919

Mailing address

1740 Ridge Ave Ste Ll15A
Evanston, IL 60201-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251202002559 IL Part B Supplier - Clinic/Group Practice 8123511888 Receives reassigned benefits from 4 practitioners
Practice locations: Evanston, IL

National Provider Directory

National Provider Directory
Tax ID family
Sunflower Clinical Group LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1962386730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE LL15A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE LL15A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015919",
            "telephone_number": "312-877-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER CLINICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "FOUNDER AND CHIEF PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-877-9411",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.

Verify at the official NPI Registry.