SAGEMIND PSYCHIATRIC CARE LLC NPI 1205621356

NPI Information

  • NPI: 1205621356
  • Provider Name: SAGEMIND PSYCHIATRIC CARE LLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 3030 WARRENVILLE RD # 450-28
    LISLE, IL
    ZIP 60532
  • Phone: (708) 998-2288

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NPI Details

SAGEMIND PSYCHIATRIC CARE LLC is a child and adolescent psychiatry psychiatry neurology in Lisle, IL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SAGEMIND PSYCHIATRIC CARE LLC NPI is 1205621356. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3030 WARRENVILLE RD # 450-28
LISLE, IL
ZIP 60532-000
Phone: (708) 998-2288

The provider's authorized official is Othman M Mohammad .
The authorized official title is Ceo/child Psychiatrist and has the following contact phone number (708) 998-2288.

The enumeration date for this NPI number is 4/10/2025 and was last updated on 4/10/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0005XPsychiatry & NeurologyNeurodevelopmental DisabilitiesNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QM1000XClinic/CenterMigrant HealthNo

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: 11/21/2025

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