Organization Active NPI

Mindflex Journey, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rolling Meadows, IL
National Provider Identifier
1063100485
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFLEX JOURNEY, PLLC
Practice address
1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229
Phone
(224) 567-0756
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Dipa PatelNPI 1467918037
Title
Owner
Phone
(224) 567-0756

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229

Mailing address

1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229
Phone (224) 567-0756

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1063100485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GOLF RD STE 1200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084229",
            "telephone_number": "224-567-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GOLF RD STE 1200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084229",
            "telephone_number": "224-567-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFLEX JOURNEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-567-0756"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.