JXP Healthy Minds PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

071006196 Issued in IL

Legal business name

JXP HEALTHY MINDS PC

Doing business as

JxP Healthy Minds PC

Practice address

819 N Ashland Ave Ste 201
Chicago, IL 60622-5102

Phone

(312) 492-8081

Fax

(312) 492-8083

NPI assigned

Jun 25, 2008

Organization subpart

Yes

Parent organization

JXP HEALTHY MINDS PCAs reported in NPPES

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

Authorized official

Name

Dr. Julie A. Xiques-Prieto, PSY,DNPI 1831260025

Title

Licensed Clinical Psychologist

Phone

(312) 492-8081

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JxP Healthy Minds PC Doing business as

Part of

JXP Healthy Minds PC

Locations

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.

• Julie A Xiques-Prieto, PSY.D.

  • Psychologist
  • Chicago, IL
  • NPI 1831260025
  NPD (past) Authorized official

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1336301969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N ASHLAND AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225102",
            "telephone_number": "312-492-8081",
            "fax_number": "312-492-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N ASHLAND AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225102",
            "telephone_number": "312-492-8081",
            "fax_number": "312-492-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JXP HEALTHY MINDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JXP HEALTHY MINDS PC",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "XIQUES-PRIETO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-492-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY,D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071006196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JULIE A XIQUES-PRIETO PSY,D",
            "identifier": "1831260025",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCEDEZ MARTINEZ MD",
            "identifier": "1184607608",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JxP Healthy Minds PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.