MIDDLE PATH PSYCHOTHERAPY LLC NPI 1821516931

NPI Information

  • NPI: 1821516931
  • Provider Name: MIDDLE PATH PSYCHOTHERAPY, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1010 LAKE ST STE 614
    OAK PARK, IL
    ZIP 60301
  • Phone: (708) 613-0344

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NPI Details

MIDDLE PATH PSYCHOTHERAPY, LLC is an adult mental health clinic center in Oak Park, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MIDDLE PATH PSYCHOTHERAPY, LLC NPI is 1821516931. The provider is registered as an organization entity type.

The provider's business location address is:

1010 LAKE ST STE 614
OAK PARK, IL
ZIP 60301-136
Phone: (708) 613-0344

The provider's authorized official is Jessica Punzo .
The authorized official title is President and has the following contact phone number (708) 613-0344.

The enumeration date for this NPI number is 9/8/2017 and was last updated on 9/8/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health071.009047ILLINOISYes

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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