Healthy Life, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HEALTHY LIFE, LLC

Practice address

200 W Madison St Ste 2100
Chicago, IL 60606-3521

Phone

(248) 495-8165

Fax

(773) 353-1581

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Cassandra Kandah, PH.DNPI 1386114122

Title

Founder

Phone

(248) 495-8165

Specialties & licenses 3

Addresses

Electronic endpoints 1

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.

• Cassandra Christine Kandah, PHD

  • Health Psychologist
  • Chicago, IL
  • NPI 1386114122

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Mary Maraventano Stried

  • Counselor
  • Chicago, IL
  • NPI 1821340613
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1770046575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 N MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471930",
            "telephone_number": "248-495-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MADISON ST STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063521",
            "telephone_number": "248-495-8165",
            "fax_number": "773-353-1581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113777",
            "country_code": "US",
            "telephone_number": "248-495-8165",
            "fax_number": "773-353-1581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "KANDAH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "248-495-8165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CK@HealthyLifeChicago.com",
            "affiliation": "N",
            "endpointDescription": "Company e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "500 N Michigan Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606113777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Healthy Family Medical Center
• Healthy Hearts & Wellness
• Healthy Hearts & Wellness LLC
• Healthy Hearts Home Care LLC
• Healthy Hue LLC
• Healthy Mind & Life Counseling Center
• Healthy Mind and Body PC
• Healthy People, 2000 Inc.
• Healthy Smiles, Inc.
• Healthy Spine Naprapathic Center, PC

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.