VIDA MENTAL HEALTH LLC – NPI #1912689183
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
VIDA MENTAL HEALTH LLC is an AHC clinic located in MUNDELEIN, IL. NPPES has assigned the NPI number 1912689183 to VIDA MENTAL HEALTH LLC on August 07, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health
The NPI profile was previously updated about 2 years ago on Jan 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VIDA MENTAL HEALTH LLC below.
NPI Profile for
VIDA MENTAL HEALTH LLC
(about 3 years ago)
MUNDELEIN, IL 60060-4279 Phone: (847) 979-9095 Fax: (847) 233-1349
GLENVIEW, IL 60025-1520 Phone: (847) 879-9095 Fax: (847) 233-1349
OWNER
Phone: (847) 979-9095
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0850X - Clinic/Center / Adult Mental Health (Primary) |
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| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health |
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| 251S00000X - Community/Behavioral Health |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.