Center for Mindfulness and Psychotherapy Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0713996 Issued in IL

Legal business name

CENTER FOR MINDFULNESS AND PSYCHOTHERAPY INC

Practice address

3624 216TH St
Matteson, IL 60443-2713

Phone

(708) 220-2696

Fax

(708) 481-7725

NPI assigned

Jul 23, 2013

Last updated

May 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy W. Pedigo, PH.D.

Title

President

Phone

(708) 220-2696

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, and the practitioner matching its NPPES authorized official.

• Elizabeth Mabbott, LPC

  • Mental Health Counselor
  • Matteson, IL
  • NPI 1902494362
  Medicare reassignment NPD

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1457793127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 216TH ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432713",
            "telephone_number": "708-220-2696",
            "fax_number": "708-481-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 216TH ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432713",
            "telephone_number": "708-220-2696",
            "fax_number": "708-481-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MINDFULNESS AND PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2025-05-12",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "PEDIGO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-220-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "0713996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klaudia M Carpenter
• Charlene Carter
• Richelle C Caya, DPT
• Wendy Ceko, MPT
• Celeston Inc. (Assisting Hands Matteson)
• Center Services Inc
• Changing Perspectives, Inc.
• Dominique Claiborne
• Zenobia Clark, FNP-C
• Nora J Clisham, M.S., SLP-CCC

• Clinical Psychologist in Matteson, IL
• Providers in Matteson, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.