RISING PHOENIX MENTAL HEALTH PLLC
NPI 1669180493
Psychologist - Clinical in Burr Ridge, IL

NPI Status: Active since November 10, 2022

Contact Information

745 MCCLINTOCK DR STE 100
BURR RIDGE, IL
ZIP 60527
Phone: (630) 491-6846

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  • Organization
  • Psychologist
  • Clinical

About RISING PHOENIX MENTAL HEALTH PLLC

This page provides the complete NPI Profile along with additional information for Rising Phoenix Mental Health Pllc, a provider established in Burr Ridge, Illinois operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1669180493 assigned on November 2022. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated one year ago. Rising Phoenix Mental Health Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mubeena Siddiqui (Credentialing Contact)

NPI
1669180493
Provider Legal Name
RISING PHOENIX MENTAL HEALTH PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
745 MCCLINTOCK DR STE 100 BURR RIDGE, IL 60527
Location Phone
(630) 491-6846
Mailing Address
745 MCCLINTOCK DR STE 100 BURR RIDGE, IL 60527
Mailing Phone
(630) 491-6846
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2022
Last Update Date
11-14-2025
Code Navigator

A clinical psychologist like Rising Phoenix Mental Health Pllc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MUBEENA SIDDIQUI

Authorized Official Title
CREDENTIALING CONTACT
Authorized Official Phone
(630) 589-2730

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669180493, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 2 + 8 + 0 + 4 + 1 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1669180493.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Counselor (Mental Health)
745 MCCLINTOCK DR STE 100
BURR RIDGE, IL 60527
Psychologist (Clinical)
745 MCCLINTOCK DR STE 100
BURR RIDGE, IL 60527
Counselor (Mental Health)
745 MCCLINTOCK DR STE 100
BURR RIDGE, IL 60527
Social Worker (Clinical)
745 MCCLINTOCK DR STE 100
BURR RIDGE, IL 60527
Counselor (Mental Health)
745 MCCLINTOCK DR STE 100
BURR RIDGE, IL 60527
Social Worker (Clinical)
745 MCCLINTOCK DR STE 100
BURR RIDGE, IL 60527
Social Worker (Clinical)
745 MCCLINTOCK DR STE 100
BURR RIDGE, IL 60527
Social Worker
745 MCCLINTOCK DR STE 100
BURR RIDGE, IL 60527

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669180493, enumerated as an "organization" on November 10, 2022.

The provider is located at 745 MCCLINTOCK DR STE 100 BURR RIDGE, IL 60527 and the phone number is (630) 491-6846.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.