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 2, 2026
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
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Mr. James E Young III, APRN, PMHNP-BCNPI 1184303075
Title
Pmhnp-BC
Phone
(708) 729-9006

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

Addresses

Primary practice location

20280 Governors Hwy Ste 106
Olympia Fields, IL 60461-1068

Mailing address

20280 Governors Hwy Ste 106
Olympia Fields, IL 60461-1068
Phone (708) 729-9006

Medicare participation

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

Enrollment records 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1316799729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "A BEAUTIFUL MIND PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "708-729-9006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "APRN, PMHNP-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 2, 2026; 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.