NPIMap

Organization Active NPI

The Mansio Center, Inc.

  • Clinical Psychologist
  • Glen Ellyn, IL
National Provider Identifier
1013469303
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009406 Issued in IL
Legal business name
THE MANSIO CENTER, INC.
Practice address
499 Anthony St
Glen Ellyn, IL 60137-4468
Phone
(877) 506-2674
NPI assigned
Nov 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Iryna Arute, PSYDNPI 1649679150
Title
Co-President
Phone
(877) 506-2674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180010058 IL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071009406 IL Primary

Addresses

Primary practice location

499 Anthony St
Glen Ellyn, IL 60137-4468

Mailing address

499 Anthony St
Glen Ellyn, IL 60137-4468
Phone (877) 506-2674

Other names 1

  • Abba's Loft Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1013469303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 ANTHONY ST",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374468",
            "telephone_number": "877-506-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 ANTHONY ST",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374468",
            "telephone_number": "877-506-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANSIO CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "ARUTE",
        "authorized_official_first_name": "IRYNA",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "877-506-2674",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010058",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abba's Loft",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.