NPIMap

Organization Active NPI

Mindcore Therapeutics

  • Pediatric Occupational Therapist
  • Chicago, IL
National Provider Identifier
1194207233
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
MINDCORE THERAPEUTICS
Practice address
2828 W Pratt Blvd
Chicago, IL 60645-4314
Phone
(917) 627-6458
NPI assigned
Sep 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Yitzchok Cohen
Title
Manager
Phone
(917) 627-6384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2828 W Pratt Blvd
Chicago, IL 60645-4314

Mailing address

2929 W Coyle Ave
Chicago, IL 60645-2923

National Provider Directory

National Provider Directory

Locations

2828 W Pratt Blvd
Chicago, IL 60645
Phone (917) 627-6458

Practitioners & affiliated clinicians

Practitioners 7

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": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1194207233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 W COYLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 W PRATT BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454314",
            "telephone_number": "917-627-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCORE THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-627-6384"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.