Organization Active NPI

Tori Brueggert, PLLC

Doing business as Sound Mind Psychiatry, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Diamond, IL
National Provider Identifier
1063234540
Registry record updated Oct 30, 2024
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
TORI BRUEGGERT, PLLC
Doing business as
Sound Mind Psychiatry, PLLC
Practice address
1055 Crystal LN
Diamond, IL 60416-7086
Phone
(815) 529-7267
NPI assigned
Oct 28, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Victoria Brueggert, APRNNPI 1992231260
Title
Owner/Nurse Practitioner
Phone
(815) 529-7267

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

1055 Crystal LN
Diamond, IL 60416-7086

Mailing address

1055 Crystal LN
Diamond, IL 60416-7086
Phone (815) 529-7267

Other identifiers 1

IdentifierTypeStateIssuer
1992231260OtherILNPI

Other names 1

  • Sound Mind Psychiatry, PLLC Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1063234540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CRYSTAL LN",
            "city": "DIAMOND",
            "state": "IL",
            "postal_code": "604167086",
            "telephone_number": "815-529-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CRYSTAL LN",
            "city": "DIAMOND",
            "state": "IL",
            "postal_code": "604167086",
            "telephone_number": "815-529-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORI BRUEGGERT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BRUEGGERT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "815-529-7267",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992231260",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Mind Psychiatry, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.