MDR Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MDR THERAPY, PLLC

Practice address

922 Davis St
Evanston, IL 60201-3605

Phone

(773) 426-0768

NPI assigned

Sep 27, 2023

Organization subpart

No

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

Authorized official

Name

Mindi Dewey-Rosburg, MA, LCPCNPI 1871991331

Title

Therapist

Phone

(773) 426-0768

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mindi Dewey-Rosburg, MA, LCPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1871991331
  NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1043099203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013605",
            "telephone_number": "773-426-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDR THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "DEWEY-ROSBURG",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "773-426-0768",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Joseph McNulty
• Michael Anthony McNulty, MSW, PHD, LCSW
• Margaret McPherson
• Colleen Elizabeth McShane, D.D.S.
• Thomas McSheehy, MSW, LSW
• Meals at Home
• Lisa Medalie, PSYD, CBSM
• Brian Medley, APN-CNP
• Gustavo Medrano, PHD
• Bridget Ann Meehan

• Professional Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.