Mind Over Matter Psychiatric Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIND OVER MATTER PSYCHIATRIC HOME HEALTHCARE, INC.

Practice address

9730 S Western Ave Ste 712
Evergreen Park, IL 60805-2826

Phone

(708) 229-7667

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Dianne Glenn, REGISTERED NURSE

Title

President

Phone

(708) 229-7667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1689932733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE STE 712",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052826",
            "telephone_number": "708-229-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 S WESTERN AVE STE 712",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052826",
            "telephone_number": "708-229-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MATTER PSYCHIATRIC HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-229-7667",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Primary Care, S.C.
• April J. Miller, D.C., F.P.S.C.
• Kenneth Bryce Miller, DDS
• Patricia J Miller, LCPC
• Gabriela Linnea Minard, DPT
• Tyler Mitchell, LPC
• Syed A Moeed, M.D.
• Mahmoud Mohamed, MD
• Mohammad a Razzaque MD,LTD
• Alia Mohammad

• Home Health Agency in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.