Center for Mind-Body Health, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

071009501 Issued in IL

Legal business name

CENTER FOR MIND-BODY HEALTH, INC.

Practice address

20855 S la Grange Rd Ste 100
Frankfort, IL 60423-1342

Phone

(815) 401-9355

Fax

(815) 422-3055

NPI assigned

Aug 30, 2018

Organization subpart

No

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

Authorized official

Name

Jennafer Ann Bruchauser Sarna, PSY.D.NPI 1396080537

Title

Licensed Clinical Psychologist

Phone

(815) 401-9355

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennafer Ann Bruchauser Sarna, PSY.D.

  • Psychologist
  • Chicago, IL
  • NPI 1396080537
  NPD Authorized official

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1639651235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20855 S LA GRANGE RD STE 100",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231342",
            "telephone_number": "815-401-9355",
            "fax_number": "815-422-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20855 S LA GRANGE RD STE 100",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231342",
            "telephone_number": "815-401-9355",
            "fax_number": "815-422-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MIND-BODY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "SARNA",
        "authorized_official_first_name": "JENNAFER",
        "authorized_official_middle_name": "ANN BRUCHAUSER",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-401-9355",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071009501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith M Casey, LCPC,NCC
• Kelly Cash, PHARMD
• Devin Cassidy
• Matt Colin Cassidy, DPT
• Shari S Cassidy, PT
• Chante'S Healthcare LLC
• Tennille Maria Chapel, MA, CCC-SLP, L
• Charles F. Martello D.D.S. P.C.
• Bertrand D Chauff, CRNA
• Paul A Chemello, D.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.