DEPAUL FAMILY & COMMUNITY SERVICES (NPI# 1285802025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285802025 |
| Entity Type | Organization |
| Organization Name | DEPAUL FAMILY & COMMUNITY SERVICES |
| Other Organization Name | DEPAUL UNIVERSITY COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
811 W Evergreen Ave 102a Chicago IL 60622-2682 |
| Practice Telephone | 3126540450 |
| Mailing Telephone | 3126540450 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | MS. SHEILA C. RIBORDY (DIRECTOR) |
| Authorized Official Telephone | 7733257780 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| 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 Name | Type Code |
|---|---|
| DePaul University Community Mental Health Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629246467 | Depaul Family & Community Services | Clinic/Center | 2156 W Wellington Ave, Chicago, IL 60618-8156 | 2008-02-14 |
| 1083759534 | Depaul Family & Community Services | Clinic/Center | 2219 N Kenmore Ave, Room 300, Chicago, IL 60614-3504 | 2007-02-21 |
| Street Address |
811 W EVERGREEN AVE 102A |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752690 | Carol Brod | Occupational Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2018-12-17 |
| 1053886796 | Erin Nicole Kooiker | Physical Therapy Assistant | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2018-10-09 |
| 1134656887 | Marisa Borreca | Developmental Therapist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2017-05-12 |
| 1669906731 | Gabrielle Kirk | Occupational Therapist | 811 W Evergreen Ave, Unit 404, Chicago, IL 60642-7113 | 2017-04-17 |
| 1588115174 | Cara Mcgarry | Speech-Language Pathologist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2016-10-18 |
| 1508316316 | Morgan Jana Ahluwalia | Physical Therapist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2016-10-05 |
| 1275986382 | Sabrina Gimenez | Developmental Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2016-07-13 |
| 1992150254 | Rachel Amanda Holowicki | Developmental Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2016-04-25 |
| 1821468513 | Aislynn Gallagher | Occupational Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2015-10-07 |
| 1902281405 | Katherine Murphy Beck | Speech-Language Pathologist | 811 W Evergreen Ave, Suite 306, Chicago, IL 60642-2682 | 2015-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 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 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 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.