Life Reset Solutions, P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

071006689 Issued in IL

Legal business name

LIFE RESET SOLUTIONS, P.C.

Practice address

3633 W Lake Ave
Suite 404
Glenview, IL 60026-5805

Phone

(312) 285-4729

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Janine Gauthier Mullady, PHDNPI 1649495011

Title

Licensed Clinical Psychologist

Phone

(312) 285-4729

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Janine Gauthier Mullady, PHD

  • Clinical Psychologist
  • Glenview, IL
  • NPI 1649495011
  Medicare reassignment Care Compare group NPD Authorized official
• Abbott Dixon, LSW

  • Mental Health Counselor
  • Barrington, IL
  • NPI 1780322925
  Medicare reassignment Care Compare group NPD
• Jennifer Lynn Ernst

  • Mental Health Counselor
  • Glenview, IL
  • NPI 1821519083
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1902243090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N GREENWOOD AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600048430",
            "telephone_number": "312-285-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 404",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "312-285-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RESET SOLUTIONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "MULLADY",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "GAUTHIER",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-285-4729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071006689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilou Oporto Leyson-Massel, OTR/L
• Jun Li, LCSW
• Rachael Libertin, MD
• Jared Jon Liebelt, M.D.
• Aaron S Lifchez, M.D.
• Light Street Ei, LLC
• Eric Chullwhan Lim, DDS
• Heather N Lim, PHARM.D.
• Cheryl A Lind, ED.S.
• John Linden

• Adult Mental Health Clinic/Center in Glenview, IL
• Providers in Glenview, 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 Oct 21, 2013; 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.