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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Brueggert, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992231260 | Other | IL | NPI |
Other names 1
- Sound Mind Psychiatry, PLLC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nurse Practitioner
- Galena, IL
- NPI 1992231260
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.