Organization Active NPI

Hephzibah Children'S Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Park, IL
National Provider Identifier
1992767602
Registry record updated Jan 8, 2020
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
HEPHZIBAH CHILDREN'S ASSOCIATION
Practice address
946 North Blvd
Oak Park, IL 60301-1205
Phone
(708) 649-7100
Fax
(708) 649-7102
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Ms. Merry Beth Sheets
Title
Executive Director
Phone
(708) 649-7100

Specialties & licenses 1

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

Addresses

Primary practice location

946 North Blvd
Oak Park, IL 60301-1205

Mailing address

1144 Lake St FL 5
Oak Park, IL 60301-6706
Phone (708) 649-7140

National Provider Directory

National Provider Directory
Tax ID family
Hephzibah Children'S Association3 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.

Locations

1144 Lake St
Fl 5
Oak Park, IL 60301
Phone (708) 649-7140

946 North Blvd
Oak Park, IL 60301
Phone (708) 649-7100

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1992767602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST FL 5",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016706",
            "telephone_number": "708-649-7140",
            "fax_number": "708-649-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 NORTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011205",
            "telephone_number": "708-649-7100",
            "fax_number": "708-649-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPHZIBAH CHILDREN'S ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "MERRY BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-649-7100",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.