NPIMap

Organization Active NPI

Sagemind Psychiatric Care LLC

  • Child & Adolescent Psychiatry Physician
  • Lisle, IL
National Provider Identifier
1205621356
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
SAGEMIND PSYCHIATRIC CARE LLC
Practice address
3030 Warrenville Rd # 450-28
Lisle, IL 60532-1000
Phone
(708) 998-2288
NPI assigned
Apr 10, 2025
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Dr. Othman M Mohammad, MDNPI 1912138660
Title
Ceo/Child Psychiatrist
Phone
(708) 998-2288

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurodevelopmental Disabilities Physician 2084P0005X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Migrant Health Clinic/Center 261QM1000X NU

Addresses

Primary practice location

3030 Warrenville Rd # 450-28
Lisle, IL 60532-1000

Mailing address

3030 Warrenville Rd # 450-28
Lisle, IL 60532-1000
Phone (708) 998-2288

National Provider Directory

National Provider Directory

Locations

3030 Warrenville Rd
#45028
Lisle, IL 60532
Phone (708) 998-2288

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": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1205621356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 WARRENVILLE RD # 450-28",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321000",
            "telephone_number": "708-998-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WARRENVILLE RD # 450-28",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321000",
            "telephone_number": "708-998-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEMIND PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "OTHMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/CHILD PSYCHIATRIST",
        "authorized_official_telephone_number": "708-998-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.