Dr. Debra M. Block and Associates, Mindful Solutions LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

071006426 Issued in IL

Legal business name

DR. DEBRA M. BLOCK AND ASSOCIATES, MINDFUL SOLUTIONS LLC

Practice address

1275 Shermer Rd
Suite 2
Northbrook, IL 60062-4558

Phone

(847) 409-0050

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Debra M. BlockNPI 1871624890

Title

Member

Phone

(847) 409-0050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Debra M. Block, PSY.D.

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1871624890
  Medicare reassignment NPD Authorized official
• Jeffrey Tilkin, MD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1578534483
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1598032922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE 109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SHERMER RD",
            "address_2": "SUITE 2",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624558",
            "telephone_number": "847-409-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DEBRA M. BLOCK AND ASSOCIATES, MINDFUL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-409-0050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071006426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Northbrook, IL
• Providers in Northbrook, 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 Nov 30, 2011; 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.