Healthcare Provider Details

I. General information

NPI: 1326796913
Provider Name (Legal Business Name): THE CHICAGO FOUNDATION FOR MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 E WOODFIELD RD STE 905
SCHAUMBURG IL
60173-5137
US

IV. Provider business mailing address

1701 E WOODFIELD RD STE 905
SCHAUMBURG IL
60173-5137
US

V. Phone/Fax

Practice location:
  • Phone: 847-989-0248
  • Fax:
Mailing address:
  • Phone: 847-989-0248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GUADA PSYCHOLOGICAL SERVICES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 847-797-4699