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MIND BODY CO-OP NPI 1770174559


NPI Information

NPI: 1770174559
Provider Name: MIND BODY CO-OP

Doing Business As: MIND BODY CO-OP

Classification: Psychiatry & Neurology - 2084P0015X
Entity Type: Organization

Specialization: Psychosomatic Medicine

Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
ZIP 60602
Phone: (312) 279-9981
Get Directions

MIND BODY CO-OP is a psychosomatic medicine psychiatry neurology in Chicago, IL. The provider is psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. MIND BODY CO-OP NPI is 1770174559. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mind Body Co-op.

The provider's business location address is:

30 N MICHIGAN AVE STE 424
CHICAGO, IL
ZIP 60602-844
Phone: (312) 279-9981
Fax: (312) 279-9981

The provider's authorized official is Kellie Rice .
The authorized official title is Owner/clinical Director and has the following contact phone number (312) 279-9981.

The enumeration date for this NPI number is 2/3/2021 and was last updated on 10/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225600000XDance TherapistNo
2363L00000XNurse PractitionerNo
3101YA0400XCounselorAddiction (Substance Use Disorder)No
4103G00000XClinical NeuropsychologistNo
5103TC0700XPsychologistClinicalNo
61041C0700XSocial WorkerClinicalNo
7133N00000XNutritionistNo
8133V00000XDietitian, RegisteredNo
9133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
10163W00000XRegistered NurseNo
11163WM1400XRegistered NurseNurse Massage Therapist (NMT)No
12171100000XAcupuncturistNo
13204R00000XElectrodiagnostic MedicineNo
14363LP2300XNurse PractitionerPrimary CareNo
152084P0015XPsychiatry & NeurologyPsychosomatic MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.