SAFER FOUNDATION (NPI# 1174003644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174003644 |
| Entity Type | Organization |
| Organization Name | SAFER FOUNDATION |
| Practice Address |
571 W Jackson Blvd Chicago IL 60661 |
| Mailing Address |
571 W Jackson Blvd Chicago IL 60661-5706 |
| Practice Telephone | 7733207160 |
| Mailing Telephone | 7733207160 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | VICTOR DICKSON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7733207160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 000000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467084442 | Safer Foundation | Clinic/Center | 808 S. Kedzie Ave, Chicago, IL 60612 | 2020-02-07 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1619460326 | Safer Foundation | Rehabilitation, Substance Use Disorder Unit | 808 S Kedzie Ave, Chicago, IL 60612-3929 | 2018-06-08 |
| 1801309752 | Safer Foundation | Counselor | 2839 W Fillmore St, Chicago, IL 60612-4051 | 2017-11-14 |
| 1871030130 | Safer Foundation | Clinic/Center | 3210 W Arthington St, Chicago, IL 60624-4121 | 2017-01-25 |
| 1780216036 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2020-02-05 |
| 1982236220 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661-5701 | 2020-02-05 |
| 1184261653 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661-5706 | 2019-12-04 |
| 1053888081 | Safer Foundation | Clinic/Center | 808 S Kedzie Ave, Chicago, IL 60612-3929 | 2018-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SAFER FOUNDATION | 571 W Jackson Blvd, Chicago, IL 60661 |
| Street Address |
571 W JACKSON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236220 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661-5701 | 2020-02-05 |
| 1184261653 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661-5706 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| 1881916955 | Andrea K. Brown | Counselor | 651 West Lake Street, Catholic Charities, Chicago, IL 60661 | 2010-02-17 |
| Find all providers in zip 60661 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831569 | Chicago Psychiatric LLC | Clinic/Center | 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 | 2020-11-03 |
| 1184223133 | Kevin P. Mcdunn, Psyd, LLC | Clinic/Center | 605 W Madison St Apt 2001, Chicago, IL 60661-2469 | 2020-10-21 |
| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
| 1437776879 | Vesna Healing, LLC | Clinic/Center | 1225 W Morse Ave Apt 203, Chicago, IL 60626-5675 | 2020-07-01 |
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1437771979 | Healthy Mind and Body LLC | Clinic/Center | 10540 S Western Ave Ste 507, Chicago, IL 60643-2529 | 2020-05-07 |
| 1346877412 | Mind Body Center | Clinic/Center | 2551 N Clark St Ste 301, Chicago, IL 60614-7732 | 2020-03-26 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.