Mindful MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINDFUL MD SC

Practice address

911 Midwest Club Pkwy Ste 720
Oak Brook, IL 60523-2533

Phone

(708) 492-0288

Fax

(630) 415-1841

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sonal Gupta, M.D.

Title

Psychiatrist

Phone

(773) 488-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sonal Gupta, MD Former legal business name

Locations

Practitioners 2

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

• Cecilia Guzman, L.C.P.C.

  • Professional Counselor
  • Oak Brook, IL
  • NPI 1649320946
  NPD (past)
• Nancy J Huntzinger, PSY.D.

  • Clinical Psychologist
  • Oak Brook, IL
  • NPI 1962534297
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1255604351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3761",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223761",
            "telephone_number": "708-492-0288",
            "fax_number": "630-415-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MIDWEST CLUB PKWY STE 720",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232533",
            "telephone_number": "708-492-0288",
            "fax_number": "630-415-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SONAL",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "773-488-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116566",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonal Gupta, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Deborah Beth Miller, LCSW
• Katherine Louise Miller, LCSW
• Louis J Miller III
• Walter John Miller Jr., MD
• Mind Spring S.C.
• Allison Minnich, PH.D., LP
• Nidhi Mittal, APN
• MN8 Consulting, Inc
• Chinmaya Modi
• Ranjani Mohan, M.D.

• Psychiatry Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.