PRIVATE PRACTICE NPI 1457796385

NPI Information

NPI: 1457796385
Provider Name: PRIVATE PRACTICE
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
76 E 89TH PL
CHICAGO, IL
ZIP 60619
Phone: (773) 383-4149
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PRIVATE PRACTICE is a mental health (including community mental health center) clinic center in Chicago, IL. PRIVATE PRACTICE NPI is 1457796385. The provider is registered as an organization entity type.

The provider's business location address is:

76 E 89TH PL
CHICAGO, IL
ZIP 60619-607
Phone: (773) 383-4149

The provider's authorized official is Mamie Robinson .
The authorized official title is Director Of Mental Health and has the following contact phone number (773) 383-4149.

The enumeration date for this NPI number is 5/6/2013 and was last updated on 5/6/2013.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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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