NPI 1053911479

Demitrius Brackett, OWNERDO

Practitioner Cognitive & Behavioral Psychologist Joliet, IL

Practice location

Address: 411 N Bluff St APT 11, Joliet, IL 60435-7295
Phone: (815) 766-5999
Mailing address: 311 N Ottawa St APT 209, Joliet, IL 60432-4080

Registered specialties (4)

Cognitive & Behavioral Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TB0200X Licence AC-6153-55852005 (IL)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence AC-6153-55852005 (IL)

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence AC-6153-55852005 (IL)

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Meals Provider

Other Service Providers Taxonomy 174200000X Licence AC-6153-55852005 (IL)

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Registry record

NPI: 1053911479
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2020
Record last updated: 28 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.