Unknown Individual – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1386892818

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). They hold a License No. C/A-0538-0032-A (IL). The NPI Number for Unknown Individual is 1386892818

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386892818
Phone
(312) 663-1130
Address
55 E JACKSON BLVD
Deactivation Date
28 December 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Potbelly, 55, East Jackson Boulevard, Printer's Row, Loop, Chicago, Cook County, Illinois, 60604, United States

    SUITE 1500

    CHICAGO, IL 606044466

    Phone: (312) 663-1130

    Fax: (312) 663-0504

    Type: Mailing

  • 7, North High Street, Belleville, Saint Clair County, Illinois, 62220, United States

    BELLEVILLE, IL 622201435

    Phone: (618) 234-9002

    Fax: (618) 234-0127

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60604)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1386892818 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Chicago?
Public fields place Unknown Individual around Chicago, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

CDPH

Mental Health Clinic/Center (Including Community Mental Health Center)
333, State Street, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
NPI: 1093715237

CDPH

Mental Health Clinic/Center (Including Community Mental Health Center)
333, State Street, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
NPI: 1255333639

CDPH

Mental Health Clinic/Center (Including Community Mental Health Center)
333 SOUTH STATE STREET REVENUE
NPI: 1780676916

CDPH

Mental Health Clinic/Center (Including Community Mental Health Center)
ROSELAND MENTAL HEALTH CENTER
NPI: 1598757726

CDPH

Mental Health Clinic/Center (Including Community Mental Health Center)
333 SOUTH STATE STREET REVENUE
NPI: 1407848633

CDPH

Mental Health Clinic/Center (Including Community Mental Health Center)
333 S STATE ST REVENUE
NPI: 1316939549

City of Chicago Department of Public Health

Mental Health Clinic/Center (Including Community Mental Health Center)
333, State Street, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
NPI: 1225020456

CDPH

Mental Health Clinic/Center (Including Community Mental Health Center)
NORTH RIVER MENTAL HEALTH CENTER
NPI: 1134111362

CDPH

Mental Health Clinic/Center (Including Community Mental Health Center)
333, State Street, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
NPI: 1386636520