OrganizationActive
Mind Well Psychological Services, LLC.
NPI 1629380290 · Clinical Psychologist · Burr Ridge, IL
Provider details
- NPI number
- 1629380290
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lori Chaib, Owner(708) 466-6443
- License
- 071.007814 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9290 Forest Edge Dr
Burr Ridge, IL 60527-6680
Phone: (708) 466-6443
Street-level locationGet directions
Mailing address
648 Avenue B
Redondo Beach, CA 90277-4829
Registry dates
- Enumerated
- 2010-07-11
- Last updated
- 2013-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.