Provider Demographics
NPI:1326796913
Name:THE CHICAGO FOUNDATION FOR MENTAL HEALTH
Entity Type:Organization
Organization Name:THE CHICAGO FOUNDATION FOR MENTAL HEALTH
Other - Org Name:GUADA PSYCHOLOGICAL SERVICES PC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GUADA
Authorized Official - Middle Name:PSYCHOLOGICAL
Authorized Official - Last Name:SERVICES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-797-4699
Mailing Address - Street 1:1701 E WOODFIELD RD STE 905
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5137
Mailing Address - Country:US
Mailing Address - Phone:847-989-0248
Mailing Address - Fax:
Practice Address - Street 1:1701 E WOODFIELD RD STE 905
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5137
Practice Address - Country:US
Practice Address - Phone:847-989-0248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUADA PSYCHOLOGICAL SERVICES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-14
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health