DEPAUL FAMILY & COMMUNITY SERVICES
NPI 1083759534
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since February 21, 2007CLIA 14D2207947 · Waiver
2247 N HALSTED ST RM 100, CHICAGO, IL 60614(773) 325-7780 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Depaul Family & Community Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEPAUL FAMILY & COMMUNITY SERVICES (NPI 1083759534), doing business as Depaul University Community Mental Health Center, is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 1, 2027 and lists Julie D Brosnan, Director, as its authorized official.

NPPES Registry Identity

NPI1083759534
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDEPAUL FAMILY & COMMUNITY SERVICES
Location Address2247 N HALSTED ST RM 100Chicago, IL 60614-6585
Mailing Address2247 N Halsted St Rm 100Chicago, IL 60614-6585 · (773) 325-7780 · Fax (773) 325-7781
Organization SubpartYesParent: Depaul University
Authorized OfficialJulie D BrosnanDirector · (773) 325-7780
Enumeration DateFebruary 21, 2007
Last NPPES UpdateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
NPI 1083759534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2247 N HALSTED ST RM 100, Chicago, IL 60614

Other Names 1

Former Legal Business NameDepaul University Community Mental Health Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2207947

Depaul University · Chicago, IL
Active · expires Jan 1, 2027
CLIA Number14D2207947
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorSusan A. Walsh
Laboratory Phone(773) 325-4473
Laboratory LocationDepaul University2323 N Sheffield Ave, Chicago, IL 60614
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083759534, enumerated as an "organization" on February 21, 2007.

The provider is located at 2247 N HALSTED ST RM 100 CHICAGO, IL 60614 and the phone number is (773) 325-7780.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.