Active NPI
Behavioral Wellness and Harmony LLC
- Psychiatric/Mental Health Nurse Practitioner
- Skokie, IL
National Provider Identifier
1124828215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BEHAVIORAL WELLNESS AND HARMONY LLC
- Practice address
- 5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462 - Phone
- (708) 397-6687
- Fax
- (773) 521-5356
- NPI assigned
- Mar 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Dina Pierre-Gray, APRN
- Title
- Ceo/Psychiatric Nurse Practitioner
- Phone
- (708) 397-6687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462
Mailing address
5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462
Phone (708) 397-6687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1639743131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747526400000",
"number": "1124828215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 OLD ORCHARD RD STE 300",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774462",
"telephone_number": "708-397-6687",
"fax_number": "773-521-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 OLD ORCHARD RD STE 300",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774462",
"telephone_number": "708-397-6687",
"fax_number": "773-521-5356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL WELLNESS AND HARMONY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-17",
"last_updated": "2025-05-18",
"certification_date": "2025-05-18",
"status": "A",
"authorized_official_last_name": "PIERRE-GRAY",
"authorized_official_first_name": "DINA",
"authorized_official_title_or_position": "CEO/PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "708-397-6687",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "APRN"
},
"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": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.