Redefine Performance

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REDEFINE PERFORMANCE

Doing business as

RP

Practice address

924 W Dakin Street
Chicago, IL 60613

Phone

(773) 796-7072

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Sarah ForsytheNPI 1750838389

Title

Ceo

Phone

(737) 967-0727

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RP Doing business as

Electronic endpoints 1

Practitioners 1

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

• Sarah Forsythe, LCPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1750838389
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1467166009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W DAKIN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 W DAKIN STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "773-796-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINE PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "737-967-0727"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL",
            "identifier": "180.013133",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.redefineperformance.org/",
            "affiliation": "N",
            "address_1": "4610 N Clark St # 1229",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606404620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thejasvi Anantasagar Reddy
• Vamsi Reddy
• Vijay Ketan Reddy, MD
• Vijaya Reddy, MD
• Vishruth Damidi Reddy
• Redefine Psychotherapy LLC
• Redefine You Therapy and Consultation
• Istvan Redei, M.D.
• Justin Alexander Rederer
• Elizabeth Redican, D.O.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.