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MELLOW MIND LLC
NPI 1114793585
Family Medicine in Chicago, IL

Active since November 28, 2023
5113 S HARPER AVE, CHICAGO, IL 60615(708) 840-1362(708) 833-7392 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mellow Mind Llc NPPES

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

MELLOW MIND LLC (NPI 1114793585) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since November 2023. The organization lists Kim Mccoy, President, as its authorized official.

NPPES Registry Identity

NPI1114793585
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMELLOW MIND LLC
Location Address5113 S HARPER AVEChicago, IL 60615-4119
Mailing Address5113 S Harper AveChicago, IL 60615-4119 · (708) 840-1362 · Fax (708) 833-7392
Phone(708) 840-1362
Fax(708) 833-7392
Organization SubpartNo
Authorized OfficialKim MccoyPresident · (708) 833-7392
Enumeration DateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1114793585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5113 S HARPER AVE, Chicago, IL 60615
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

RAREJEM CARE INC
Nursing Care
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (312) 342-2543
KEARSTON BARWEGEN
Psychologist (Clinical)
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (708) 374-7891
NIJA S WHITAKER
Behavior Technician
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (833) 717-4244
KENYANNA RENEE MONIQUE RAGGS
Behavior Technician
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (833) 717-4244
YAKIMA S DIEMER LPC
Counselor (Professional)
5113 S HARPER AVE, SUITE 2
CHICAGO, IL 60615
Cook County (708) 406-5479
TERRANCE CHAPMAN RBT
Behavior Technician
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (832) 755-5521
TIFFANY HOFFMAN
Counselor (Mental Health)
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (773) 304-3699
AAAC CORPORATION
Non-emergency Medical Transport (VAN)
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (312) 804-1847

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 Mellow Mind LLC's NPI number?

The NPI number for Mellow Mind LLC is 1114793585. It was assigned to this organization in the NPPES registry on November 28, 2023.

Where is Mellow Mind LLC located?

Mellow Mind LLC is located at 5113 S Harper Ave, Chicago, IL 60615. The listed phone number is (708) 840-1362.

What is Mellow Mind LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mellow Mind LLC was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.