COGNITIVE FOCUS CENTERS, INC.


Address: 901 E 95th St, Chicago, IL 60619
Phone: 4126068214

COGNITIVE FOCUS CENTERS, INC. (NPI# 1194372458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194372458
Entity Type Organization
Organization Name COGNITIVE FOCUS CENTERS, INC.
Practice Address 901 E 95th St
Chicago
IL 60619
Mailing Address 901 E 95th St
Chicago
IL 60619-7826
Practice Telephone 4126068214
Mailing Telephone 4126068214
Enumeration Date 2019-08-21
Last Update Date 2019-10-23
Authorized Official Name MR. KEVIN M JORDAN (CEO)
Authorized Official Telephone 4126068214
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1770869505 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
400 W 95th St, Chicago, IL 606281120 4126617790
204 N Highland Ave, Pittsburgh, PA 152063026 4126617790
901 E 95th St, Chicago, IL 606197826 4126068214

Office Location

Street Address 901 E 95TH ST
City CHICAGO
State IL
Zip Code 60619

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1205362977 Kristen Suing Psychologist 1111 E 87th St Ste 300, Chicago, IL 60619 2017-05-02
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1619574803 Envision Unlimited Clinic/Center 2124 W 82nd Pl, Chicago, IL 60620-5358 2020-10-01
1144827320 Envision Unlimited Clinic/Center 4919 N Clark St, Chicago, IL 60640-3514 2020-10-01
1194322370 Envision Unlimited Clinic/Center 4911 S Hoyne Ave, Chicago, IL 60609-4721 2020-10-01
1144837055 Totality. Therapies LLC Clinic/Center 2027 W Division St Ste 157, Chicago, IL 60622-9024 2020-09-24
1790391373 Luminary Solutions, LLC Clinic/Center 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 2020-09-19
1114533924 A Safe Haven, L.L.C. Clinic/Center 600 S Wabash Ave, Chicago, IL 60605-1808 2020-09-17
1235745142 A Safe Haven, L.L.C. Clinic/Center 7355 N Damen Ave, Chicago, IL 60645-2311 2020-09-17
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Competitor

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City CHICAGO
Zip Code 60619

Improve Information

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Dataset Information

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.

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