Individual provider Active NPI

Sarah J Sims, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lombard, IL
National Provider Identifier
1245790278
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209019500 Issued in IL
Practice address
246 E Janata Blvd Ste 245
Lombard, IL 60148-5382
Phone
(708) 312-0588
Fax
(708) 312-0588
NPI assigned
Mar 25, 2019
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.002069 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209019500 IL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 041348381 IL

Addresses

Primary practice location

246 E Janata Blvd Ste 245
Lombard, IL 60148-5382

Mailing address

1155 W Madison St Apt 406
Chicago, IL 60607-2857
Phone (773) 892-4065

Other practice location 1

1323 Butterfield Rd Ste 116
Downers Grove, IL 60515-5620
Phone (708) 364-0580 ext. 1040

Other practice location 2

612 S Western Ave
Chicago, IL 60612-4680
Phone (708) 364-0580 ext. 1040

Other practice location 3

15010 S Ravinia Ave Ste 15
Orland Park, IL 60462-5353
Phone (708) 364-0580 ext. 1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041348381ILMDPsychiatric/Mental Health Registered Nurse
209019500ILMDPsychiatric/Mental Health Nurse Practitioner
277.002069ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendent Psychiatry Psychiatric/Mental Health CurrentSince Oct 1, 2022 Accepting new patients

Locations

246 E Janata Blvd
Ste 245
Lombard, IL 60148
Phone (630) 785-3220

Organizations & group practices 1

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1245790278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W MADISON ST APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072857",
            "telephone_number": "773-892-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E JANATA BLVD STE 245",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485382",
            "telephone_number": "708-312-0588",
            "fax_number": "708-312-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 Butterfield Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155620",
            "country_code": "US",
            "telephone_number": "708-364-0580 x1040",
            "fax_number": "708-364-0480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124680",
            "country_code": "US",
            "telephone_number": "708-364-0580 x1040",
            "fax_number": "708-364-0480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15010 S Ravinia Ave Ste 15",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604625353",
            "country_code": "US",
            "telephone_number": "708-364-0580 x1040",
            "fax_number": "708-364-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "SARAH",
        "middle_name": "J",
        "credential": "PMHNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.002069",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209019500",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041348381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.