SAINT ANTHONY HEALTH AFFILIATES NPI 1740961416

NPI Information

NPI: 1740961416
Provider Name: SAINT ANTHONY HEALTH AFFILIATES
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
4192 S ARCHER AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 446-2960
Get Directions

SAINT ANTHONY HEALTH AFFILIATES is an adolescent and children mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. SAINT ANTHONY HEALTH AFFILIATES NPI is 1740961416. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4192 S ARCHER AVE
CHICAGO, IL
ZIP 60632-850
Phone: (773) 446-2960

The provider's authorized official is Guy A Medaglia .
The authorized official title is President/ceo, Authorized Official and has the following contact phone number (773) 484-1000.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 3/15/2024.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	102L00000X	Psychoanalyst		No
3	103K00000X	Behavior Analyst		No
4	103TB0200X	Psychologist	Cognitive & Behavioral	No
5	103TC0700X	Psychologist	Clinical	No
6	103TC1900X	Psychologist	Counseling	No
7	103TF0000X	Psychologist	Family	No
8	103TP2701X	Psychologist	Group Psychotherapy	No
9	1041C0700X	Social Worker	Clinical	No
10	171M00000X	Case Manager/Care Coordinator		No
11	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	No
12	251S00000X	Community/Behavioral Health		No
13	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
14	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	Yes
15	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

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: 5/5/2024

NPI Synchronization or Removal

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