Provider Demographics
NPI:1033844501
Name:MENTALIZING MINDS PLLC
Entity Type:Organization
Organization Name:MENTALIZING MINDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PATZELT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:651-315-3410
Mailing Address - Street 1:900 LEE ST UNIT 209
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6581
Mailing Address - Country:US
Mailing Address - Phone:651-315-3410
Mailing Address - Fax:
Practice Address - Street 1:302 SAUNDERS RD STE 200
Practice Address - Street 2:
Practice Address - City:RIVERWOODS
Practice Address - State:IL
Practice Address - Zip Code:60015-3897
Practice Address - Country:US
Practice Address - Phone:651-315-3410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health