DEBORAH'S PLACE
NPI 1538536735
Community/Behavioral Health in Chicago, IL

NPI Status: Active since August 24, 2015

Contact Information

2822 W JACKSON BLVD
CHICAGO, IL
ZIP 60612
Phone: (773) 722-5080
Fax: (773) 722-5081

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  • Organization
  • Community/Behavioral Health

About DEBORAH'S PLACE

This page provides the complete NPI Profile along with additional information for Deborah's Place, a provider established in Chicago, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1538536735 assigned on August 2015. The practitioner's primary taxonomy code is 251S00000X with license number 149.007559 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Katharine C Booton Wilson Lcsw (Chief Strategy Officer)

NPI
1538536735
Provider Name
DEBORAH'S PLACE
Entity Type
Organization
Location Address
2822 W JACKSON BLVD CHICAGO, IL 60612
Location Phone
(773) 722-5080
Location Fax
(773) 722-5081
Mailing Address
2822 W JACKSON BLVD CHICAGO, IL 60612
Mailing Phone
(773) 722-5080
Mailing Fax
(773) 722-5081
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2015
Last Update Date
08-24-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
149.007559
License State
IL
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

149.007559 (IL)
2251B00000XAgencies

Case Management

149.011208 (IL)
3251B00000XAgencies

Case Management

149.016615 (IL)
4251B00000XAgencies

Case Management

149.015965 (IL)
5251B00000XAgencies

Case Management

150.015350 (IL)
6251S00000XAgencies

Community/Behavioral Health

149.011208 (IL)
7251S00000XAgencies

Community/Behavioral Health

149.016615 (IL)
8251S00000XAgencies

Community/Behavioral Health

149.015965 (IL)
9251S00000XAgencies

Community/Behavioral Health

150.015350 (IL)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KATHARINE C BOOTON WILSON LCSW

Authorized Official Title
CHIEF STRATEGY OFFICER
Authorized Official Phone
(773) 638-6392

Reviews for DEBORAH'S PLACE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538536735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681031276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 0 + 3 + 1 + 2 + 7 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1538536735 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568828291DEBORAH'S PLACE
Organization
Community/Behavioral Health2822 W JACKSON BLVD
CHICAGO, IL 60612
(773) 722-5080
1427414135DEBORAH'S PLACE
Organization
Community/Behavioral Health2822 W JACKSON BLVD
CHICAGO, IL 60612
(773) 722-5080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538536735, enumerated in the NPI registry as an "organization" on August 24, 2015

The provider is located at 2822 W Jackson Blvd Chicago, Il 60612 and the phone number is (773) 722-5080

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on August 24, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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