MIRA NEURO BEHAVIORAL HEALTH CARE LLC NPI 1518615749

NPI Information

  • NPI: 1518615749
  • Provider Name: MIRA NEURO BEHAVIORAL HEALTH CARE, LLC
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Address: 6775 PROSPERI DRIVE
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 726-6472

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NPI Details

MIRA NEURO BEHAVIORAL HEALTH CARE, LLC is a psychiatric hospital in Tinley Park, IL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. MIRA NEURO BEHAVIORAL HEALTH CARE, LLC NPI is 1518615749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6775 PROSPERI DRIVE
TINLEY PARK, IL
ZIP 60477
Phone: (708) 726-6472

The provider's authorized official is Chris Higgins .
The authorized official title is President/chairman and has the following contact phone number (708) 726-6472.

The enumeration date for this NPI number is 3/16/2022 and was last updated on 5/26/2023.

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
1103G00000XClinical NeuropsychologistNo
2103TC1900XPsychologistCounselingNo
3103TC2200XPsychologistClinical Child & AdolescentNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5283Q00000XPsychiatric HospitalYes

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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