OF SOUND MIND, INC. (NPI# 1689797276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689797276 |
| Entity Type | Organization |
| Organization Name | OF SOUND MIND, INC. |
| Practice Address |
5215 N Ravenswood Ave Suite 214 Chicago IL 60640-1668 |
| Practice Telephone | 7739078825 |
| Practice Fax Number | 7739078841 |
| Mailing Telephone | 7739078825 |
| Mailing Fax Number | 7739078841 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LORI R GRIFO (DIRECTOR) |
| Authorized Official Telephone | 7739078825 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | COMPSYCH CORP. | 237540 | 01 |
| IL | MULTIPLAN | P-12036740 | 01 |
| IL | MANAGED HEALTH NETWORK | 276614 | 01 |
| Street Address |
5215 N RAVENSWOOD AVE SUITE 214 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467506675 | Dr Todd C Renn, P.C. | Chiropractor | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2007-01-23 |
| 1831632751 | Harmonic Heart Living | Behavioral Analyst | 5215 N Ravenswood Ave, Ste 208, Chicago, IL 60640-1668 | 2016-11-25 |
| 1144606385 | Serena Pesch | Social Worker | 5215 N Ravenswood Ave, Ste 210, Chicago, IL 60640-1670 | 2015-08-10 |
| 1376950550 | Nicole Miller | Massage Therapist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2014-07-19 |
| 1023425360 | Carlos Matos | Massage Therapist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2014-07-18 |
| 1790192201 | Colleen Holdener | Massage Therapist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2014-07-16 |
| 1861780025 | Paul J. Detaege, Lcsw, P.C. | Community/Behavioral Health | 5215 N Ravenswood Ave, Suite 314, Chicago, IL 60640-1668 | 2011-07-20 |
| 1306164215 | Tracie Hinton-chavez | Acupuncturist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2010-05-17 |
| 1447573159 | Thomas Malinsky | Acupuncturist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2010-03-09 |
| 1649500208 | Kenneth Arnold Weber II | Chiropractor | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on OF SOUND MIND, INC..
| 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.