Active NPI
Cypressholistic Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
National Provider Identifier
1255280004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CYPRESSHOLISTIC PSYCHIATRY
- Practice address
- 3440 N Lake Shore Dr
Chicago, IL 60657-2818 - Phone
- (312) 313-2710
- Fax
- (312) 386-5539
- NPI assigned
- Jan 26, 2026
- 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
- Chique Henderson, APRN, PMHNP-BC
- Title
- Ceo/Founder
- Phone
- (312) 523-4988
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
3440 N Lake Shore Dr
Chicago, IL 60657-2818
Mailing address
1449 S Michigan Ave Ste 13354
Chicago, IL 60605-2810
Phone (312) 313-2710
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 1114890803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1255280004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 S MICHIGAN AVE STE 13354",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052810",
"telephone_number": "312-313-2710",
"fax_number": "312-386-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572818",
"telephone_number": "312-313-2710",
"fax_number": "312-386-5539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYPRESSHOLISTIC PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-26",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "CHIQUE",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "312-523-4988",
"authorized_official_credential": "APRN, PMHNP-BC"
},
"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 Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.