THE THRESHOLDS NPI 1396124301

NPI Information

NPI: 1396124301
Provider Name: THE THRESHOLDS

Other Name: VETERANS, BRIDGE WEST, JUSTICE CERMAK, IPS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2240 W OGDEN AVE
CHICAGO, IL
ZIP 60612
Phone: (773) 572-5236
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THE THRESHOLDS is a mental health (including community mental health center) clinic center in Chicago, IL. THE THRESHOLDS NPI is 1396124301. The provider is registered as an organization entity type.
The provider Other Name Is Veterans, Bridge West, Justice Cermak, Ips.

The provider's business location address is:

2240 W OGDEN AVE
CHICAGO, IL
ZIP 60612-881
Phone: (773) 572-5236

The provider's authorized official is Marcella Klauer .
The authorized official title is Executive Assistant and has the following contact phone number (773) 572-5480.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 9/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04133	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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