JXP HEALTHY MINDS PC NPI 1336301969

NPI Information

  • NPI: 1336301969
  • Provider Name: JXP HEALTHY MINDS PC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: JXP HEALTHY MINDS PC
  • Address: 819 N ASHLAND AVE STE 201
    CHICAGO, IL
    ZIP 60622
  • Phone: (312) 492-8081

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NPI Details

JXP HEALTHY MINDS PC is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JXP HEALTHY MINDS PC NPI is 1336301969. The provider is registered as an organization entity type.
The provider Is Doing Business As Jxp Healthy Minds Pc.

The provider's business location address is:

819 N ASHLAND AVE STE 201
CHICAGO, IL
ZIP 60622-102
Phone: (312) 492-8081
Fax: (312) 492-8083

The provider's authorized official is Julie A. Xiques-prieto .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (312) 492-8081.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 6/25/2008.

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
1251S00000XCommunity/Behavioral Health071006196ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11184607608OTHERILLINOISMERCEDEZ MARTINEZ MD
21831260025OTHERILLINOISJULIE A XIQUES-PRIETO PSY,D

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: 3/30/2025

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