Ucp Seguin of Greater Chicago

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

UCP SEGUIN OF GREATER CHICAGO

Practice address

1704 W Armitage CT
Addison, IL 60101-4207

Phone

(708) 863-3803

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Donna Ressler Robinson

Title

Clinical Services Administrator

Phone

(708) 222-4607

Specialties & licenses 1

Addresses

Other names 1

• Seguin Services Inc. Former legal business name

Tax ID family

Seguin Service Inc3 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.

• Ucp Seguin Greater Chicago

  • Foster Care Agency
  • Tinley Park, IL
  • NPI 1376900571
  NPD tax ID
• Ucp Seguin of Greater Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cicero, IL
  • NPI 1649404716
  NPD tax ID

Locations

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1972234730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S CENTRAL AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W ARMITAGE CT",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014207",
            "telephone_number": "708-863-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCP SEGUIN OF GREATER CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "RESSLER ROBINSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CLINICAL SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "708-222-4607"
    },
    "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": [
        {
            "organization_name": "Seguin Services Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Addison, IL
• Providers in Addison, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.