Enlighten Mind Body Wellness LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ENLIGHTEN MIND BODY WELLNESS LLC

Practice address

3106 Spring Harbour Dr
Rockford, IL 61114-6605

Phone

(815) 988-8756

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sherry Falsetti, PH.D.NPI 1346224375

Title

Owner/Clinical Psychologist

Phone

(815) 988-8756

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Sherry A Falsetti, PHD

  • Clinical Psychologist
  • Rockford, IL
  • NPI 1346224375
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1114549581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 SPRING HARBOUR DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146605",
            "telephone_number": "815-988-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 SPRING HARBOUR DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146605",
            "telephone_number": "815-988-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN MIND BODY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "FALSETTI",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-988-8756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@drsherryfalsetti.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email address",
            "address_1": "3106 Spring Harbour Dr",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611146605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Enderle, APRN
• Aaron Michael Engel, ATC
• Sonya M Engel, APRN
• Molly Engelkes
• Ryan C Enke, M.D.
• Anthony Enrico
• Tina Renee Entwistle, D.P.M.
• Ann T Enyobi, PMHNP-BC
• Eolion, LLC
• Epilepsy Association of Rock River Valley, Inc

• Clinical Psychologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.