Healthcare Provider Details

I. General information

NPI: 1073487096
Provider Name (Legal Business Name): MIND MAPPING EVALUATIONS OF CHICAGO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E HURON ST STE 304
CHICAGO IL
60611-5244
US

IV. Provider business mailing address

40 E HURON ST STE 304
CHICAGO IL
60611-5244
US

V. Phone/Fax

Practice location:
  • Phone: 615-887-6406
  • Fax:
Mailing address:
  • Phone: 615-887-6406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFERY GARRISON JR.
Title or Position: OWNER
Credential: PSY.D
Phone: 615-887-6406