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MIRA MEDICAL ASSOCIATES, PLLC
NPI 1588370464
Clinical Neuropsychologist in Tinley Park, IL

Active since January 25, 2023
6775 PROSPERI DR, TINLEY PARK, IL 60477(708) 726-6472(708) 671-8446 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mira Medical Associates, Pllc NPPES

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

MIRA MEDICAL ASSOCIATES, PLLC (NPI 1588370464) is a healthcare organization registered as a clinical neuropsychologist in Tinley Park, Illinois and active in the NPI registry since January 2023. The organization lists Christopher Higgins, President, as its authorized official.

NPPES Registry Identity

NPI1588370464
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMIRA MEDICAL ASSOCIATES, PLLC
Location Address6775 PROSPERI DRTinley Park, IL 60477-4789
Mailing Address6775 Prosperi DrTinley Park, IL 60477-4789 · (708) 726-6472 · Fax (708) 671-8446
Phone(708) 726-6472
Fax(708) 671-8446
Organization SubpartYesParent: Mira Neuro Behavorial Health Care, Llc
Authorized OfficialChristopher HigginsPresident · (708) 726-6472
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
✔ NPI 1588370464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
6775 PROSPERI DR, Tinley Park, IL 60477
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

MAUREEN WOLSKI
Occupational Therapist
6775 PROSPERI DR
TINLEY PARK, IL 60477
Cook County (708) 429-1260
MRS. DAWN DENISESINICKI BANCSI MPT
Physical Therapist (Neurology)
6775 PROSPERI DR
TINLEY PARK, IL 60477
Cook County (708) 429-1260
MR. THOMAS GERALD BANCSI MOT
Occupational Therapist (Neurorehabilitation)
6775 PROSPERI DR
TINLEY PARK, IL 60477
Cook County (708) 429-1260
SOUTHWEST COMMUNITY SERVICES, INC.
Community/Behavioral Health
6775 PROSPERI DR
TINLEY PARK, IL 60477
Cook County (708) 429-1260
MRS. JILLIAN O'SULLIVAN BCBA
Behavior Analyst
6775 PROSPERI DR
TINLEY PARK, IL 60477
Cook County (708) 429-1260
SOUTHWEST COMMUNITY SERVICES, INC
Day Training, Developmentally Disabled Services
6775 PROSPERI DR
TINLEY PARK, IL 60477
Cook County (708) 429-1260
MS. ZIBUTE PRANCKEVICIUS PTA
Physical Therapy Assistant
6775 PROSPERI DR
TINLEY PARK, IL 60477
Cook County (708) 429-1260
MRS. JEAN A KIENZLE SLP
Speech-Language Pathologist
6775 PROSPERI DR
TINLEY PARK, IL 60477
Cook County (708) 429-1260

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 Mira Medical Associates, PLLC's NPI number?

The NPI number for Mira Medical Associates, PLLC is 1588370464. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Mira Medical Associates, PLLC located?

Mira Medical Associates, PLLC is located at 6775 Prosperi Dr, Tinley Park, IL 60477. The listed phone number is (708) 726-6472.

What is Mira Medical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Mira Medical Associates, PLLC was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.