Mental Health Group Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MENTAL HEALTH GROUP INC

Practice address

9933 Franklin Ave Ste 2B
Franklin Park, IL 60131-1928

Phone

(847) 603-4566

Fax

(800) 604-1874

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Amir Bashir

Title

President

Phone

(847) 603-4566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

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.

• Afolasade Julie Abayomi Jarrett, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crest Hill, IL
  • NPI 1114559242
  Medicare reassignment NPD
• Julia M Johnson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • University Park, IL
  • NPI 1033951306

  Single Specialty

  Medicare reassignment NPD
• Latoya Robinson, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1407223258
  Medicare reassignment NPD
• Evelyn Ukpolo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolingbrook, IL
  • NPI 1891198628
  Medicare reassignment NPD
• Lauro Amezcua-Patino, M.D.

  • Psychiatry Physician
  • Maywood, IL
  • NPI 1659364396
  Medicare reassignment
• Hyacinth Carpio, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1639859283
  Medicare reassignment
• Annabel Lingan Punsalan, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1235673179
  Medicare reassignment

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1245013903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 FRANKLIN AVE STE 2B",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601311928",
            "telephone_number": "847-603-4566",
            "fax_number": "800-604-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 FRANKLIN AVE STE 2B",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601311928",
            "telephone_number": "847-603-4566",
            "fax_number": "800-604-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-603-4566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diana Meyers
• Michael a Walsh DPM PC
• Michael a, Kazmer D.D.S. P.C.
• Midwest Anesthesia and Pain Specialists, SC
• Richard Moorman, LCSW

• Psychiatry Physician in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.