Ink & Ivy Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INK & IVY PSYCHIATRY PLLC

Practice address

113 E Walnut St
Noble, IL 62868-1709

Phone

(618) 852-1395

NPI assigned

May 21, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacklyn Kay Stanley, APRN, PMHNP-BCNPI 1073285482

Title

Owner

Phone

(618) 852-1395

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacklyn Kay Stanley, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Noble, IL
  • NPI 1073285482
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1023948973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E WALNUT ST",
            "city": "NOBLE",
            "state": "IL",
            "postal_code": "628681709",
            "telephone_number": "618-852-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E WALNUT ST",
            "city": "NOBLE",
            "state": "IL",
            "postal_code": "628681709",
            "telephone_number": "618-852-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Main St",
            "address_purpose": "LOCATION",
            "city": "Dieterich",
            "state": "IL",
            "postal_code": "624241128",
            "country_code": "US",
            "telephone_number": "618-852-1395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INK & IVY PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-852-1395",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Buerster, PT, DPT
• Kimberly Correll, PTA
• Jody Lee Hazel, LMT
• Cynthia Dawn Klingler, DT
• Kelsey Lynn Lee
• Prairie Ridge Orthopedic
• Karen Seals, OTR/L
• Christopher Spenner

• Psychiatric/Mental Health Nurse Practitioner in Noble, IL
• Providers in Noble, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.