Mind Connect Behavioral Health P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND CONNECT BEHAVIORAL HEALTH P.C.

Practice address

2815 Forbs Ave Ste 107
Hoffman Estates, IL 60192-3731

Phone

(847) 916-7880

NPI assigned

Sep 12, 2023

Last updated

Jun 10, 2024By 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

Heta ShahNPI 1619427069

Title

Owner

Phone

(847) 916-7880

Specialties & licenses 1

Addresses

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.

• Heta Shah, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoffman Estates, IL
  • NPI 1619427069
  Authorized official Same address or phone

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1255118303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 FORBS AVE STE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923731",
            "telephone_number": "847-916-7880",
            "fax_number": "847-914-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 FORBS AVE STE 107",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923731",
            "telephone_number": "847-916-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CONNECT BEHAVIORAL HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-916-7880"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Miller, MS, LMFT
• Mark Miller, MD
• Mary Isabel Miller
• Taylor Miller, APN-CNM
• Zachary J Miller, LCSW
• Mind Matters Psychological Services
• Mindful Medispa and Mediclinic PLLC
• Preeti Mirchandani, D.O.
• Marielle Mitchell, NP-C
• Vladanka Mitrovic

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

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

Verify at the official NPI Registry.