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DR. MANDY BARAKA NPI 1619555075


NPI Information

NPI: 1619555075
Provider Name: DR. MANDY BARAKA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1616 E ROOSEVELT RD STE 8
WHEATON, IL
ZIP 60187
Phone: (630) 588-1201
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DR. Mandy Baraka is a mental health counselor in Wheaton, IL. DR. Mandy Baraka NPI is 1619555075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1616 E ROOSEVELT RD STE 8
WHEATON, IL
ZIP 60187-850
Phone: (630) 588-1201

The enumeration date for this NPI number is 3/29/2021 and was last updated on 3/29/2021.


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
1101YM0800XCounselorMental Health180.010151ILLINOISYes

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.