Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMITRIUS BRACKETT, OWNER/DO
Active Sole ProprietorDEMITRIUS BRACKETT, OWNER/DO is a Cognitive & Behavioral Psychologist healthcare provider located in JOLIET, Illinois. NPI 1053911479 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · JOLIET, IL
Registration Details
- NPI Number
- 1053911479
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2020 (5.8107005018568 yrs)
- Last Updated
- Jan 28, 2026
- Licenses
-
AC-6153-55852005 (IL)AC-6153-55852005 (IL)AC-6153-55852005 (IL)AC-6153-55852005 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 N BLUFF ST APT 11JOLIET, IL, 604357295Browse IL providers · Browse ZIP 60435
- Phone
- 8157665999
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Genetic Counselor
Other Cognitive & Behavioral Psychologist Providers in JOLIET, IL
| Name | Credential | NPI |
|---|---|---|
| VINH DANG | — | 1326209040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.