MIND BODY SPIRIT CARE CLINIC INC – General Practice Physician, NPI 1104007756

MIND BODY SPIRIT CARE CLINIC INC is a healthcare provider. based in Mascoutah, Illinois. specializing in General Practice Physician. The NPI Number for MIND BODY SPIRIT CARE CLINIC INC is 1104007756

Main info

Organization
Name
MIND BODY SPIRIT CARE CLINIC INC
NPI
1104007756
Phone
(618) 960-8796
Address
9640 MALLARD DR
Authorized Official
MS. CATHERINE DEANNE MARSHALL PRESIDENT-OWNER/PROVIDER APRN-BC
Enumeration Date
23 November 2007
Last Update Date
23 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for MIND BODY SPIRIT CARE CLINIC INC

  • 9640, Mallard Drive, Mascoutah, Saint Clair County, Illinois, 62258, United States

    MASCOUTAH, IL 622582762

    Phone: (618) 960-8796

    Type: Location

  • 215, North Broadway Avenue, Salem, Columbiana County, Ohio, 44460, United States

    SALEM, IL 628811511

    Phone: (618) 960-8796

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62258)

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Reviews

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Frequently asked questions

Can I verify MIND BODY SPIRIT CARE CLINIC INC with an NPI only?
You can start verification with NPI 1104007756 for MIND BODY SPIRIT CARE CLINIC INC, then check state licensing separately.
Does the file indicate MIND BODY SPIRIT CARE CLINIC INC is practicing under active NPI?
Directory data currently reports MIND BODY SPIRIT CARE CLINIC INC as active.
What is MIND BODY SPIRIT CARE CLINIC INC's primary classification?
General Practice Physician is the headline specialty for MIND BODY SPIRIT CARE CLINIC INC here. Clinical services aligned with this taxonomy classification.
Where is MIND BODY SPIRIT CARE CLINIC INC based?
MIND BODY SPIRIT CARE CLINIC INC is tied to Mascoutah, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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