Organization Active NPI

TMS Neurohealth Illinois PLLC

  • Psychiatry Physician
  • Fairview Heights, IL
National Provider Identifier
1386292571
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TMS NEUROHEALTH ILLINOIS PLLC
Practice address
303 Fountains Pkwy Ste 200
Fairview Heights, IL 62208-2074
Phone
(855) 940-4867
Fax
(855) 721-4867
NPI assigned
Aug 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Patricia Willet
Title
Director of Managed Care
Phone
(855) 711-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

303 Fountains Pkwy Ste 200
Fairview Heights, IL 62208-2074

Mailing address

PO Box 950552
Saint Louis, MO 63195-0552
Phone (855) 711-4867

Other names 3

  • Greenbrook Mental Wellness Centers Other name
  • Greenbrook TMS Other name
  • TMS NeuroHealth Centers Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191231000402 IL Part B Supplier - Clinic/Group Practice 8729412689 Receives reassigned benefits from 5 practitioners
Practice locations: Fairview Heights, IL

National Provider Directory

National Provider Directory

Locations

303 Fountains Pkwy
Ste 200
Fairview Hts, IL 62208
Phone (618) 688-7020

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1386292571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950552",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631950552",
            "telephone_number": "855-711-4867",
            "fax_number": "641-800-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FOUNTAINS PKWY STE 200",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082074",
            "telephone_number": "855-940-4867",
            "fax_number": "855-721-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMS NEUROHEALTH ILLINOIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLET",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "855-711-4867"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbrook Mental Wellness Centers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Greenbrook TMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TMS NeuroHealth Centers Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.