Active NPI
A Beautiful Mind Psychiatry PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- A BEAUTIFUL MIND PSYCHIATRY PLLC
- Practice address
- 20280 Governors Hwy Ste 106
Olympia Fields, IL 60461-1068 - Phone
- (708) 729-9006
- Fax
- (708) 540-2448
- NPI assigned
- Apr 2, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. James E. Young III, NP-BC
- Title
- Practice Owner
- Phone
- (708) 640-6951
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Olympia Fields, IL
- NPI 1184303075
IL, Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Olympia Fields, IL
- NPI 1508735648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251104000421 | IL | Part B Supplier - Clinic/Group Practice | 1951891530 |
Receives reassigned benefits from 1 practitioner Practice locations: Olympia Fields, IL |
National Provider Directory
National Provider DirectoryLocations
20280 Governors Hwy
Ste 106
Olympia Fields, IL 60461
Phone (708) 668-4700
6700 167th St
Ste 4
Tinley Park, IL 60477
Phone (708) 429-3700
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
20280 Governors Hwy Ste 106
Olympia Fields, IL 60461-1068
Mailing address
6700 167TH St Ste 4
Tinley Park, IL 60477-2078
Phone (708) 668-4902
Other practice location 1
6700 167th St Ste 4
Tinley Park, IL 60477-2078
Phone (708) 668-4902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2025.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762646400000",
"number": "1316799729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 167TH ST STE 4",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604772078",
"telephone_number": "708-668-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20280 GOVERNORS HWY STE 106",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611068",
"telephone_number": "708-729-9006",
"fax_number": "708-540-2448"
}
],
"practiceLocations": [
{
"address_1": "6700 167th St Ste 4",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604772078",
"country_code": "US",
"telephone_number": "708-668-4902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "A BEAUTIFUL MIND PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-02",
"last_updated": "2025-11-09",
"certification_date": "2025-11-09",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "708-640-6951",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "NP-BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.