MINDFUL CONNECTIONS BEHAVIORAL HEALTH PC (NPI# 1558745406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558745406 |
| Entity Type | Organization |
| Organization Name | MINDFUL CONNECTIONS BEHAVIORAL HEALTH PC |
| Practice Address |
116 S York St Ste 201 Elmhurst IL 60126-3432 |
| Mailing Address |
1413 Victoria Ave Berkeley IL 60163-1464 |
| Practice Telephone | 7083518831 |
| Mailing Telephone | 7083518831 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | ROSEMARY SPIZZIRRI (DIRECTOR) |
| Authorized Official Telephone | 7083518831 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 150015385 | IL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149009677 | IL | Behavioral Health & Social Service Providers |
| Street Address |
116 S YORK ST STE 201 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372047 | Alyssa Marie Paterakis | Social Worker | 334 N Oak St, Elmhurst, IL 60126-2212 | 2019-05-24 |
| 1164992467 | Giovanny C. Lopez | Social Worker | 7901 Broadway # H3-62, Elmhurst, NY 11373-1329 | 2018-11-29 |
| 1972011211 | Lisa Marie Marcus | Social Worker | 244 S Oakland Grv, Elmhurst, IL 60126-3052 | 2018-01-22 |
| 1124539002 | Gladys Esther Garcia | Social Worker | 9131 Queens Blvd Ste 212, Elmhurst, NY 11373-5511 | 2017-10-18 |
| 1215473285 | Adam Apostolovich | Social Worker | 163 E Jackson St, Elmhurst, IL 60126-5145 | 2017-01-13 |
| 1881130474 | Kristine Hudzik | Social Worker | 110 E Schiller St Ste 232, Elmhurst, IL 60126-2895 | 2017-01-06 |
| 1336524321 | Christy Poli | Social Worker | 200 N Addison Ave Unit 206, Elmhurst, IL 60126-2799 | 2015-07-20 |
| 1760874192 | Rebecca Ann Deurance | Social Worker | 428 S Kenilworth Ave, Elmhurst, IL 60126-3929 | 2015-02-23 |
| 1164812244 | Rosemary Spizzirri II | Social Worker | 116 S York St, Elmhurst, IL 60126-3432 | 2015-01-28 |
| 1982950408 | Martin Alonso Alvarez-villada | Social Worker | 4045 75th St Fl 2, Elmhurst, NY 11373-1011 | 2012-08-02 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.