Clear Mind Mental Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036123570 Issued in IL

Legal business name

CLEAR MIND MENTAL HEALTH LLC

Practice address

66 Deer Path TRL
Burr Ridge, IL 60527-6324

Phone

(630) 664-6173

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Molly Mulligan, M.D.

Title

Member

Phone

(630) 664-6173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1821468133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DEER PATH TRL",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276324",
            "telephone_number": "630-664-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 DEER PATH TRL",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276324",
            "telephone_number": "630-664-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-664-6173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036123570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Lai-Ming Chow, MD
• Ashish K Chugh
• Kishore A Chugh, R.PH
• Katherine Ciannella, OTD, OTR/L
• Erika Claud, MD
• Clinical Hearing Services
• Clinicare Lab LTD
• Community Consol SCH Dist 180
• William G Conrad, MD
• Caitlin Cook, PT, DPT

• Psychiatry Physician in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.