Mindset Health PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008452 Issued in IL

Legal business name

MINDSET HEALTH PC

Practice address

2617 W Coyle Ave
Chicago, IL 60645-3214

Phone

(773) 407-8626

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jason Herr, PSY.D.

Title

Founder

Phone

(773) 407-8626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1801339254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "address_2": "SUITE 1022",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "773-407-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 W COYLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453214",
            "telephone_number": "773-407-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-407-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha M Mindlin, DPT
• Corazon T Mindo
• Minds in Bloom
• Mindscapes Inc
• Mindset Counseling Services PLLC
• Mindset Mindfully N-Tune PLLC
• Mindwell Inc
• Melissa Minear, LCSW
• Bradly Miner
• Janae Lily Miner, RN

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.