Organization Active NPI

A Beautiful Mind Psychiatry PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olympia Fields, IL
National Provider Identifier
1316799729
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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-BCNPI 1184303075
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.