Mysi Corporation

Primary specialty

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

Legal business name

MYSI CORPORATION

Practice address

1737 W Touhy Ave
Chicago, IL 60626-2417

Phone

(773) 743-8837

Fax

(773) 743-8840

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Judi Bradley

Title

Quality Improvement Manager

Phone

(773) 569-7005

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mysi Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Methodist Youth Services, Inc.

  • Public Health or Welfare Agency
  • Chicago, IL
  • NPI 1568430205
  NPD tax ID
• Mysi Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1639542681
  NPD tax ID
• Mysi Corporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chicago, IL
  • NPI 1801253299
  NPD tax ID

Locations

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1265028591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W 111TH ST STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552240",
            "telephone_number": "773-840-4600",
            "fax_number": "773-840-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262417",
            "telephone_number": "773-743-8837",
            "fax_number": "773-743-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSI CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "QUALITY IMPROVEMENT MANAGER",
        "authorized_official_telephone_number": "773-569-7005"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark F Myren
• Frederick Myrick
• Amanda M Myron, PT, DPT
• Dmytro Mysak
• Iryna Mysak, RN
• Mysi Corporation
• Mysi Corporation
• Myskin LLC
• Russell Antonio Myslewicz
• Malgorzata Myslinksa Harris

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, 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 Dec 21, 2020; 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.