Vida Mental Health LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

VIDA MENTAL HEALTH LLC

Practice address

333 E Il Route 83 Ste 205
Mundelein, IL 60060-4279

Phone

(847) 979-9095

Fax

(847) 233-1349

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Carmela Snchez, PA

Title

Owner

Phone

(847) 979-9095

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704585600000",
    "number": "1912689183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 ESTATE LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251520",
            "telephone_number": "847-879-9095",
            "fax_number": "847-233-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83 STE 205",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604279",
            "telephone_number": "847-979-9095",
            "fax_number": "847-233-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "SNCHEZ",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-979-9095",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhannah Vaysman, PSY.D.
• Boris Veller, DC
• Emily Velotta, MD
• Vernon Hills Chiropractic Clinic S.C.
• Vernon Hills Physical Medicine, Service Corporation
• Vida Mental Health Solutions
• Village of Mundelein (Mundelein Fire Department)
• Jalpa Vyas
• Walgreen Co (Walgreens #10122)
• Walgreen Co (Walgreens #04778)

• Adult Mental Health Clinic/Center in Mundelein, IL
• Providers in Mundelein, 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 Jan 7, 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.