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SOUND MIND SOUND BODY HEALTH SERVICES INC. NPI 1215134721


NPI Information

NPI: 1215134721
Provider Name: SOUND MIND, SOUND BODY HEALTH SERVICES, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2200 HUNTINGTON DR N
ALGONQUIN, IL
ZIP 60102
Phone: (815) 356-5499
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SOUND MIND, SOUND BODY HEALTH SERVICES, INC. is a clinical psychologist in Algonquin, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. SOUND MIND, SOUND BODY HEALTH SERVICES, INC. NPI is 1215134721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 HUNTINGTON DR N
ALGONQUIN, IL
ZIP 60102-419
Phone: (815) 356-5499
Fax: (815) 356-7139

The provider's authorized official is Julie Mcfail Weingarz .
The authorized official title is President and has the following contact phone number (815) 356-5499.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 4/21/2017.


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
1103TC0700XPsychologistClinical071006152ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K13927MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER #
205632128OTHERILLINOISBCBS PPO PROVIDER #
31295717858OTHERINDIVIDUAL NPI #
4210738MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP #

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: 11/14/2023

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