Mindful Connections Behavioral Health PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009677 Issued in IL

Legal business name

MINDFUL CONNECTIONS BEHAVIORAL HEALTH PC

Practice address

116 S York St Ste 201
Elmhurst, IL 60126-3432

Phone

(708) 351-8831

NPI assigned

Jul 9, 2015

Last updated

Jul 9, 2015By 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

Rosemary Spizzirri, LCSWNPI 1164812244

Title

Director

Phone

(708) 351-8831

Specialties & licenses 2

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.

• Rosemary Spizzirri II, LCSW

  • Clinical Social Worker
  • Elmhurst, IL
  • NPI 1164812244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1558745406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 VICTORIA AVE",
            "city": "BERKELEY",
            "state": "IL",
            "postal_code": "601631464",
            "telephone_number": "708-351-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S YORK ST STE 201",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263432",
            "telephone_number": "708-351-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "SPIZZIRRI",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-351-8831",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150015385",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Miller, GNP-BC
• Luke Miller
• Stephanie Ruth Miller, P.T.
• Dean R Milos, MD
• Talia Abia Mims
• Tina Mingo, C.N.M.
• Dusko Mirjanic, RSA
• Kathryn Mittel
• Carlos Miyasato
• MKS Care, Inc. (Right at Home Chicago West Suburbs)

• Clinical Social Worker in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.