OrganizationActive
The Phoenix Clinic Nfp
NPI 1316632672 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Provider details
- NPI number
- 1316632672
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Taylor Pettway, Executive Director(773) 431-7397
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1136 S Delano Ct W Ste B201
Chicago, IL 60605-3734
Phone: (773) 431-7397
Street-level locationGet directions
Mailing address
2436 W Cullom Ave
Chicago, IL 60618-1604
Other names (DBA / former)
- Doing business as
- Phoenix Clinic Chicago
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.