MIND BODY BEHAVIORAL HEALTH, PLCC
NPI 1649001314
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since August 13, 2024
680 N LAKE SHORE DR STE 1101768, CHICAGO, IL 60611(847) 680-9924(847) 680-9924 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 12, 2025, Aug 13, 2024 (2 updates tracked since 2024).

About Mind Body Behavioral Health, Plcc NPPES

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

MIND BODY BEHAVIORAL HEALTH, PLCC (NPI 1649001314) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since August 2024. The organization lists Dayna Long, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1649001314
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIND BODY BEHAVIORAL HEALTH, PLCC
Location Address680 N LAKE SHORE DR STE 1101768Chicago, IL 60611-4546
Mailing Address1s150 Spring Rd Apt 3iOakbrook Terrace, IL 60181-4612 · (708) 606-1147
Fax(847) 680-9924
Organization SubpartNo
Authorized OfficialDayna LongOwner/clinician · (708) 606-1147
Enumeration DateAugust 13, 2024
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1649001314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
680 N LAKE SHORE DR STE 1101768, Chicago, IL 60611

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

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 Mind Body Behavioral Health, Plcc's NPI number?

The NPI number for Mind Body Behavioral Health, Plcc is 1649001314. It was assigned to this organization in the NPPES registry on August 13, 2024.

Where is Mind Body Behavioral Health, Plcc located?

Mind Body Behavioral Health, Plcc is located at 680 N Lake Shore Dr Ste 1101768, Chicago, IL 60611. The listed phone number is (847) 680-9924.

What is Mind Body Behavioral Health, Plcc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mind Body Behavioral Health, Plcc was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.