Ydt LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

YDT LLC

Doing business as

Mind Body Therapy

Practice address

3924 W Devon Ave
Lincolnwood, IL 60712-1040

Phone

(201) 970-2976

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Jacob Danishefsky, LCSWNPI 1164992434

Title

Manager

Phone

(201) 970-2976

Specialties & licenses 1

Addresses

Other names 1

• Mind Body Therapy Doing business as

Practitioners 1

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

• Jacob Danishefsky, MSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1164992434
  NPD Authorized official

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1730910068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W SHERWIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451134",
            "telephone_number": "201-970-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 W DEVON AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121040",
            "telephone_number": "201-970-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YDT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "DANISHEFSKY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-970-2976",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xoom Diagnostics
• Yaping Xu
• Rajiv Yadav
• Joy Luka Yama
• Olga Yarigina, DDS
• Yehuda Krohn, Psy.D., P.C.
• Solomon M Yigazu, MD
• Yogesh B Parikh MD SC
• Evana Younan, D.C.
• Olya Julie Zahrebelny, DDS

• Clinical Social Worker in Lincolnwood, IL
• Providers in Lincolnwood, 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 Aug 8, 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.