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Active NPI 1053911479 Individual Practitioner Male Practitioner

Dr. Demitrius Brackett , OWNER, DO

Psychologist - Cognitive & Behavioral • Joliet, IL

Professional Overview & Biography Verified Profile Summary

Dr. Demitrius Brackett, OWNER, DO is a registered healthcare professional specializing in Psychologist - Cognitive & Behavioral in Joliet, IL. Practice services are available at 411 N BLUFF ST APT 11 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 N Bluff St Apt 11

Joliet, IL 604357295

Telephone 8157665999
Associated Practice Facility / Clinic
🏢 Forevermore Mind Body & Soul Facility NPI 1346025285

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Joliet, IL (47 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-28
Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License IL AC-6153-55852005

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Adult Companion

NUCC Taxonomy Code: 372600000X

State License IL AC-6153-55852005

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL AC-6153-55852005

Definition to come...

Meals

NUCC Taxonomy Code: 174200000X

State License IL AC-6153-55852005

A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2026

Adult Companion (License #AC-6153-55852005 in IL)

📍
Updated Practice Location December 03, 2025

Registered at 411 N BLUFF ST APT 11, JOLIET, IL 604357295 (Tel: 8157665999)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2025

Technician

📍
Updated Practice Location August 03, 2022

Registered at 311 N OTTAWA ST APT 209, JOLIET, IL 604324080 (Tel: 8157665999)

📍
Updated Business Mailing Address August 03, 2022

Registered at 311 N OTTAWA ST APT 209, JOLIET, IL 604324080 (Tel: 8157665999)

👤
Provider Name / Credentials Updated August 03, 2022

Recorded as DEMITRIUS BRACKETT, OWNER/DO

NPI Profile Active October 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2020

Registered at 350 E WASHINGTON ST, JOLIET, IL 604331150 (Tel: 3123125791)

📍
Updated Business Mailing Address October 26, 2020

Registered at 350 E WASHINGTON ST, JOLIET, IL 604331150 (Tel: 3123125791)

👤
Provider Name / Credentials Updated October 26, 2020

Recorded as DEMITRIUS BRACKETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Clinic/Center

🟢
Initial NPI Registration & Enumeration October 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053911479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2020
Last Update: January 28, 2026
Sole Proprietor: Yes

Mailing Address

311 N Ottawa St Apt 209

Joliet, IL 604324080

Phone: 8157665999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.