Mind Chicago

LBN: Mind Chicago
Mind Chicago is an health care organization with primary practice located at 4411 N Ravenswood Ave Ste 225 , Chicago IL 60640-5802. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Mind Chicago can be contacted via phone (312) 667-3775, or through Meyerson, David A via phone (312) 667-3775.

Contact Information

Primary practice address
4411 N Ravenswood Ave Ste 225 Chicago IL 60640-5802
Phone: (312) 667-3775
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Meyerson, David A PHD
Phone: (312) 667-3775

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1912549676
LBN Legal business name Mind Chicago
DBA Doing business as
Authorized official Meyerson, David A PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2019
Last updated Apr 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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