CENTER FOR MINDFULNESS AND PSYCHOTHERAPY INC
NPI 1457793127
Psychologist - Clinical in Matteson, IL

Q: What is Center For Mindfulness And Psychotherapy Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 23, 2013

3624 216TH ST, MATTESON, IL 60443(708) 220-2696(708) 481-7725 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Center For Mindfulness And Psychotherapy Inc NPPES

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

CENTER FOR MINDFULNESS AND PSYCHOTHERAPY INC (NPI 1457793127) is a healthcare organization registered as a clinical in Matteson, Illinois and active in the NPI registry since July 2013. The organization lists Timothy W. Pedigo, President, as its authorized official.

NPPES Registry Identity

NPI1457793127

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCENTER FOR MINDFULNESS AND PSYCHOTHERAPY INC

Location Address3624 216TH STMatteson, IL 60443-2713

Mailing Address3624 216th StMatteson, IL 60443-2713 · (708) 220-2696 · Fax (708) 481-7725

Phone(708) 220-2696

Fax(708) 481-7725

Organization SubpartNo

Authorized OfficialTimothy W. PedigoPresident · (708) 220-2696

Enumeration DateJuly 23, 2013

Last NPPES UpdateMay 12, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1457793127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 0713996

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3624 216TH ST, Matteson, IL 60443

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Mindfulness And Psychotherapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Center For Mindfulness And Psychotherapy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Mabbott, LPC

Mental Health Counselor

NPI 1902494362

3624 216TH ST
Matteson, IL 60443

(708) 481-4086

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Center For Mindfulness And Psychotherapy Inc's NPI number?

The NPI number for Center For Mindfulness And Psychotherapy Inc is 1457793127. It was assigned to this organization in the NPPES registry on July 23, 2013.

Where is Center For Mindfulness And Psychotherapy Inc located?

Center For Mindfulness And Psychotherapy Inc is located at 3624 216th St, Matteson, IL 60443. The listed phone number is (708) 220-2696.

What is Center For Mindfulness And Psychotherapy Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Center For Mindfulness And Psychotherapy Inc enrolled in Medicare?

Yes. Center For Mindfulness And Psychotherapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Mindfulness And Psychotherapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Center For Mindfulness And Psychotherapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Center For Mindfulness And Psychotherapy Inc was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.