Active NPI
Medical Mind Clarity Inc
- Psychiatric/Mental Health Nurse Practitioner
- New Lenox, IL
National Provider Identifier
1255032579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MEDICAL MIND CLARITY INC
- Practice address
- 1333 S Schoolhouse Rd Ste 109
New Lenox, IL 60451-2746 - Phone
- (708) 741-2325
- Fax
- (888) 207-0577
- NPI assigned
- Mar 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nina Pope- Osaghae
- Title
- Director
- Phone
- (773) 616-4338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1333 S Schoolhouse Rd Ste 109
New Lenox, IL 60451-2746
Mailing address
17359 S McKenna Dr
Plainfield, IL 60586-9292
Phone (708) 741-2325
Other practice location 1
14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (773) 616-4338
National Provider Directory
National Provider DirectoryLocations
1333 S Schoolhouse Rd
Ste 109
New Lenox, IL 60451
Phone (708) 741-2325
14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1255032579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17359 S MCKENNA DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605869292",
"telephone_number": "708-741-2325",
"fax_number": "888-207-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 S SCHOOLHOUSE RD STE 109",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604512746",
"telephone_number": "708-741-2325",
"fax_number": "888-207-0577"
}
],
"practiceLocations": [
{
"address_1": "14484 John Humphrey Dr",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604622638",
"country_code": "US",
"telephone_number": "773-616-4338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDICAL MIND CLARITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-14",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "POPE- OSAGHAE",
"authorized_official_first_name": "NINA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "773-616-4338"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.