Heart & Mind Therapy, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HEART & MIND THERAPY, PLLC

Practice address

345 Sheridan Rd
Highland Park, IL 60035-5336

Phone

(773) 580-5198

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Paula T. Dicanio, PH.D.NPI 1952524019

Title

Psychotherapist

Phone

(773) 580-5198

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Paula T Dicanio, PHD.

  • Clinical Psychologist
  • Bannockburn, IL
  • NPI 1952524019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1497333991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SHERIDAN RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355336",
            "telephone_number": "773-580-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SHERIDAN RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355336",
            "telephone_number": "773-580-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & MIND THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "DICANIO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-580-5198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ptdc11@att.net",
            "affiliation": "N",
            "address_1": "345 Sheridan Rd",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600355336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roberta Maller Hartman, PH.D.
• Annalissa Hartsell, DPT
• Leah Elizabeth Hasdan
• Gerald Walter Hay, COTA/L
• Ulemjamirlangui Hayanhirvaa, LMT
• Herbert Mason Hedberg, M.D.
• Jessica Heffernan
• Leslie B Heffez, DMD, MS, FRCD
• Deborah Diane Hege, LCSW
• Katherine Elizabeth Heile, MS CCC SLP

• Clinical Psychologist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.