Psygenic Health Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PSYGENIC HEALTH INC

Practice address

920 175TH St Ste 6
Homewood, IL 60430-2077

Phone

(708) 879-2975

Fax

(708) 365-2949

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Theresa Olusola, PMHNPNPI 1447943154

Title

Manager

Phone

(708) 879-2975

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Olusola, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Homewood, IL
  • NPI 1447943154
  Medicare reassignment Authorized official
• Joseph Olusola, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1649907536
  Medicare reassignment

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1356152169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 175TH ST STE 6",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302077",
            "telephone_number": "708-879-2975",
            "fax_number": "708-365-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 175TH ST STE 6",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302077",
            "telephone_number": "708-879-2975",
            "fax_number": "708-365-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYGENIC HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "OLUSOLA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-879-2975",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priority One Healthcare LLC
• Professional Accounts Receivable Management Team (Cognitive Counseling Center)
• Progressive Therapeutic Services
• Bella T Prospero, M.D.
• Tammy Latrece Pruitt
• Shelby Catherine Pupo, M.ED.
• Vivian Ann Purnell, OTR/L
• Purposeful Pathways Counseling PLLC
• John A. Pyle, D.D.S.
• Quantum Policy Research Institute

• Psychiatric/Mental Health Nurse Practitioner in Homewood, IL
• Providers in Homewood, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.