Individual provider Active NPI

Olukemi Aina

  • Psychiatric/Mental Health Nurse Practitioner
  • Melrose Park, IL
National Provider Identifier
1124787650
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209024364 Issued in IL
Practice address
1414 Main St
Melrose Park, IL 60160-3902
Phone
(708) 410-0615
NPI assigned
Dec 13, 2021
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209024364 IL Primary

Addresses

Primary practice location

1414 Main St
Melrose Park, IL 60160-3902

Mailing address

1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 410-0615

Other practice location 1

28 N 1st St Ste 201
Geneva, IL 60134-2285
Phone (630) 428-7890

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
I20230102000159 IL Practitioner - Nurse Practitioner 7810389699 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Presence Behavioral HealthGroup PAC ID 7517864143, 8 clinicians
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-0073

416 Main St
Suite 601
Peoria, IL 61602-3126
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Hope & Harmony Psychiatric Services LLC Psychiatric/Mental Health Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 29, 2024 Accepting new patients
Presence Behavioral Health CurrentSince Oct 1, 2022 Accepting new patients
Edgewood Clinical Services, P.C. Psychiatric/Mental Health PastSince Aug 7, 2023 Accepting new patients

Locations

1820 S 25th Ave
Broadview, IL 60155
Phone (708) 338-3806

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1414 Main St
Melrose Park, IL 60160
Phone (708) 681-2324

416 Main St
Ste 601
Peoria, IL 61602
Phone (217) 341-6550

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.olukemiaina@146897.advancedmd-direct.com
  • Direct secure messaging: olukemi.aina.1@21300.direct.athenahealth.com

Organizations & group practices 5

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1124787650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603902",
            "telephone_number": "708-410-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603902",
            "telephone_number": "708-410-0615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 N 1st St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601342285",
            "country_code": "US",
            "telephone_number": "630-428-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AINA",
        "first_name": "OLUKEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209024364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.