Cognivia Mental Health S.C.
Psychiatry & Neurology, Psychiatry in Oak Brook, IL. Organization (NPI-2).
NPI number1497609341
StatusActive
Last updated in NPPESFeb 25, 2026
Details
- NPI
- 1497609341
- Entity type
- Organization (NPI-2)
- Legal business name
- Cognivia Mental Health S.C.
- Organization subpart
- No
- Enumeration date
- Feb 25, 2026
- Certification date
- Feb 25, 2026
- Last updated
- Feb 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103T00000X | Psychologist | – | – | |
| 104100000X | Social Worker | – | – |
Practice location
800 Enterprise Dr Ste 214Oak Brook, IL 60523-4218
Phone 312-600-5061
Mailing address
800 Enterprise Dr Ste 214Oak Brook, IL 60523-4218
Authorized official
Kisa Davis
Credentialing Director
3126005061
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