Intermind Wellness Inc
NPI 1710746672 · Psychiatry Physician · Calumet Park, IL
Intermind Wellness Inc is a Psychiatry Physician organization in Calumet Park, IL (NPI 1710746672).
Provider details
- NPI number
- 1710746672
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacey Davis, Ceo(312) 967-7214
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Integrative Medicine Physician202D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Frequently asked questions
- What is Intermind Wellness Inc's NPI number?
- Intermind Wellness Inc's National Provider Identifier (NPI) is 1710746672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intermind Wellness Inc?
- Intermind Wellness Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Intermind Wellness Inc located?
- Intermind Wellness Inc's practice location on file with NPPES is 1137 W 127th St, Calumet Park, IL 60827-6537.
- What is Intermind Wellness Inc's phone number?
- The practice phone number listed in the NPPES registry for Intermind Wellness Inc is (312) 967-7214.
- Who is the authorized official for Intermind Wellness Inc?
- The authorized official listed on Intermind Wellness Inc's NPPES record is Stacey Davis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intermind Wellness Inc's NPI active?
- Yes — Intermind Wellness Inc's NPI (1710746672) is active in the NPPES registry as of the last update on 2024-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.