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DEMITRIUS BRACKETT OWNER/DO
NPI 1053911479
Psychologist - Cognitive & Behavioral in Joliet, IL

Active since October 26, 2020
411 N BLUFF ST APT 11, JOLIET, IL 60435(815) 766-5999 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2026, Dec 3, 2025, Aug 3, 2022 and 1 more (4 updates tracked since 2020).

About Demitrius Brackett Owner/do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMITRIUS BRACKETT OWNER/DO (NPI 1053911479) is an individual cognitive & behavioral provider in Joliet, Illinois, licensed in Illinois (AC-6153-55852005) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1053911479
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameDEMITRIUS BRACKETTCredential: OWNER/DO
Location Address411 N BLUFF ST APT 11Joliet, IL 60435-7295
Mailing Address311 N Ottawa St Apt 209Joliet, IL 60432-4080 · (815) 766-5999
Phone(815) 766-5999
Sole ProprietorYes
Enumeration DateOctober 26, 2020
Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1053911479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in IL · AC-6153-55852005
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License AC-6153-55852005 (IL)
Also ListedMealsTaxonomy 174200000X · License AC-6153-55852005 (IL)
Also ListedAdult CompanionTaxonomy 372600000X · License AC-6153-55852005 (IL)
411 N BLUFF ST APT 11, Joliet, IL 60435
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOREVERMORE MIND BODY & SOUL
Clinic/Center
411 N BLUFF ST APT 11
JOLIET, IL 60435
Will County (815) 766-5999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demitrius Brackett's NPI number?

The NPI number for Demitrius Brackett is 1053911479. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Demitrius Brackett located?

Demitrius Brackett practices at 411 N Bluff St Apt 11, Joliet, IL 60435. The listed phone number is (815) 766-5999.

What is Demitrius Brackett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Demitrius Brackett was last updated on January 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.