Organization Active NPI

MB Perinatal Psychotherapy PLLC

  • Clinical Social Worker
  • Brookfield, IL
National Provider Identifier
1649025370
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MB PERINATAL PSYCHOTHERAPY PLLC
Practice address
3702 Rosemear Ave
Brookfield, IL 60513
Phone
(269) 207-5601
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Madison Jean-Turner Barnes, LCSW, PMH-CNPI 1518428184
Title
Psychotherapist
Phone
(269) 207-5601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3702 Rosemear Ave
Brookfield, IL 60513

Mailing address

3702 Rosemear Ave
Brookfield, IL 60513
Phone (269) 207-5601

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1649025370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 ROSEMEAR AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "60513",
            "telephone_number": "269-207-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 ROSEMEAR AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "60513",
            "telephone_number": "269-207-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB PERINATAL PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "JEAN-TURNER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "269-207-5601",
        "authorized_official_credential": "LCSW, PMH-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.