Psychiatric Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PSYCHIATRIC WELLNESS LLC

Practice address

4646 Church St
Skokie, IL 60076-1545

Phone

(815) 416-9696

NPI assigned

Feb 22, 2024

Organization subpart

No

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

Authorized official

Name

Irina Salabai, NPNPI 1194324053

Title

Owner

Phone

(630) 309-4140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irina Salabai

  • Psychiatric/Mental Health Nurse Practitioner
  • Algonquin, IL
  • NPI 1194324053
  Medicare reassignment NPD Authorized official
• Irina V Lelik, LCSW

  • Clinical Social Worker
  • Lincolnshire, IL
  • NPI 1821808932

  Single Specialty

  NPD

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1144086752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 BUFFALO CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889106",
            "telephone_number": "630-309-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 CHURCH ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761545",
            "telephone_number": "815-416-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "SALABAI",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-309-4140",
        "authorized_official_credential": "NP"
    },
    "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": []
}

• Prohealth Pharmacy LLC
• Prolife Home Health Care, Inc.
• Kimberly Niccole Prugh, LMFT
• Holly F Przekota, MS CCC SLP
• Psychiatric Medicine Assoc LLC
• Psychoeducational Resource Services
• Matthew Allen Ptack, PA-C
• Peter Charles Puleo, R.PH.
• Alvina Pullukat, PHARMD
• Rajesh Punnoose

• Psychiatric/Mental Health Nurse Practitioner in Skokie, IL
• Providers in Skokie, 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 Feb 22, 2024; 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.

Verify at the official NPI Registry.