Mindful Path Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MINDFUL PATH PSYCHOLOGICAL SERVICES

Practice address

512 W Burlington Ave Ste 9
La Grange, IL 60525-2225

Phone

(708) 713-9172

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Kristen Ginn

Title

Owner

Phone

(708) 713-9172

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristen Kay Dunnett, PSY.D.

  • Clinical Psychologist
  • Hinsdale, IL
  • NPI 1699088401
  NPD

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1235859489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE STE 9",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE STE 9",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252225",
            "telephone_number": "708-713-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATH PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "GINN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-713-9172"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Metz, M.S.,CCC-SLP
• Eileen Rose Meyer, M.S., CCC-SLP
• Julie D Meyers, OTR
• Casey Jade Miller, D.C.
• Mind Gut Therapy Center PLLC
• Donna S Mitchell, APN
• Dev Mitruka, MD
• Ryan Nicole Moe, M.A., CCC-SLP
• Shirley A Mondragon, CRNA
• Sabrina M Montecinos, DO

• Psychologist in La Grange, IL
• Providers in La Grange, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.