CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO (NPI# 1245564640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245564640 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Practice Address |
641 W Lake St Chicago IL 60661-1007 |
| Practice Telephone | 3126557984 |
| Practice Fax Number | 3122365384 |
| Mailing Telephone | 3126557984 |
| Mailing Fax Number | 3122365384 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | MONSIGNOR MICHAEL M BOLAND (ADMINISTRATOR, PRESIDENT AND CEO) |
| Authorized Official Telephone | 3126557460 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 04019 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DCFS MEDICAID | 0039714330 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922643055 | Catholic Charities of The Archdiocese of Chicago | Clinic/Center | 3019 W Harrison St, Chicago, IL 60612-3342 | 2019-11-13 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1881081263 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 1400 S Austin Blvd, Cicero, IL 60804-1003 | 2015-04-23 |
| 1003217506 | Catholic Charities of The Archdiocese of Chicago | Case Management | 1800 N Hermitage Ave, Chicago, IL 60622-1161 | 2014-09-16 |
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1215282926 | Catholic Charities of The Archdiocese of Chicago | Case Management | 721 N Lasalle St, 5th Floor, Chicago, IL 60610 | 2012-07-18 |
| 1881928398 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 11255 S Michigan Ave, Chicago, IL 60628-4909 | 2009-09-30 |
| 1295854446 | Catholic Charities of The Archdiocese of Chicago | Clinic/Center | 721 N La Salle Dr, Chicago, IL 60654-3751 | 2007-03-28 |
| 1407971211 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 1100 S May St, Fl 2, Chicago, IL 60607-4229 | 2007-03-20 |
| 1629130083 | Catholic Charities of The Archdiocese of Chicago | Case Management | 116 Lincoln Ave, Round Lake, IL 60073-5009 | 2006-12-14 |
| Street Address |
641 W LAKE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 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 |
| Find all providers in zip 60661 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| 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.