Individual provider Active NPI

Brandy McCrudden, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tinley Park, IL
National Provider Identifier
1083250450
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277004256 Issued in IL
Practice address
6811 167TH St Unit 2
Tinley Park, IL 60477-2501
Phone
(708) 232-8854
Fax
(708) 854-0714
NPI assigned
Nov 20, 2019
Last updated
Jun 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277004256 IL
Family Nurse Practitioner 363LF0000X 277004256 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277004256 IL Primary

Addresses

Primary practice location

6811 167TH St Unit 2
Tinley Park, IL 60477-2501

Mailing address

6811 167TH St Unit 2
Tinley Park, IL 60477-2501
Phone (708) 232-8854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109002026 IL Practitioner - Nurse Practitioner 1355730540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6811 167TH St
Unit 2
Tinley Park, IL 60477-2501
Phone (708) 232-8854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277004256ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Mental Wellness Psychiatric/Mental Health CurrentSince Jul 18, 2025 Accepting new patients
Beautiful Minds Psychiatry Psychiatric/Mental Health PastSince Feb 1, 2025 Accepting new patients

Locations

7777 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 806-0777

6811 167th St
Unit 2
Tinley Park, IL 60477
Phone (708) 232-8854

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1083250450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 167TH ST UNIT 2",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772501",
            "telephone_number": "708-232-8854",
            "fax_number": "708-854-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 167TH ST UNIT 2",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772501",
            "telephone_number": "708-232-8854",
            "fax_number": "708-854-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRUDDEN",
        "first_name": "BRANDY",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277004256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277004256",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277004256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.