State of Mind Mental Health & Consultation Services P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180006065 Issued in IL

Legal business name

STATE OF MIND MENTAL HEALTH & CONSULTATION SERVICES P.C.

Practice address

400 E 41St St
Suite 101a
Chicago, IL 60653-3071

Phone

(773) 285-0804

Fax

(773) 285-0804

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Latanya Marie McFieldNPI 1821206327

Title

Executive Director

Phone

(773) 807-2144

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Latanya Marie McField

  • Behavior Analyst
  • Chicago, IL
  • NPI 1821206327
  NPD Authorized official

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1457685604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17911 LOS ANGELES AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301509",
            "telephone_number": "708-798-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 41ST ST",
            "address_2": "SUITE 101A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533071",
            "telephone_number": "773-285-0804",
            "fax_number": "773-285-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MIND MENTAL HEALTH & CONSULTATION SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "MCFIELD",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-807-2144",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180006065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Staszko, PSY.D., LPHA
• Kaleoulokawai Staszkow, M.D.
• Stat Surgical Assist
• State of Illinois
• State of Illinois Department of Human Services
• Statewide Healthcare Services, Inc
• Statewide Healthcare Services, LLC
• Keitt Stathem
• Sydney Stathes, PMHNP-BC
• Angela Stathopoulos, D.D.S.

• 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 Sep 21, 2009; 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.