Peaceful Mind Therapy, PLLC

Primary specialty

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

Legal business name

PEACEFUL MIND THERAPY, PLLC

Practice address

656 Hyacinth PL
Highland Park, IL 60035-1170

Phone

(773) 909-9614

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Schulze, PSY.D.NPI 1023263308

Title

Clinical Psychologist

Phone

(773) 909-9614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Samantha Robin Schulze, PSY.D.

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1023263308
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1407438237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 HYACINTH PL",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351170",
            "telephone_number": "773-909-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 HYACINTH PL",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351170",
            "telephone_number": "773-909-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL MIND THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SCHULZE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-909-9614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vairagi Patel, O.D.
• Pathfinder Health
• Paul M Kentor MD SC
• Noah Payant, DPT
• Whitney Payne
• Katharine Pearson, MA, CCC-SLP/L
• Angela Marie Pecora, PA-C
• Vincent Pederson, CCC-SLP
• Peerless Medical Supply, Inc
• Gina Marie Pelehac, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Highland Park, IL
• Providers in Highland Park, 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 Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.