Vistamind Healthcare Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

VISTAMIND HEALTHCARE SERVICES

Practice address

640 S Washington St Ste 288
Naperville, IL 60540-6781

Phone

(630) 965-3632

Fax

(534) 429-4312

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Cyriaque Georgini Tetchi, APRN-FPANPI 1053084442

Title

Manager

Phone

(630) 965-3632

Specialties & licenses 4

Addresses

Practitioners 1

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

• Cyriaque Georgini Tetchi, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1053084442

  Family

  NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1447018973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 W DORSET AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676070",
            "telephone_number": "630-965-3632",
            "fax_number": "534-429-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST STE 288",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406781",
            "telephone_number": "630-965-3632",
            "fax_number": "534-429-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTAMIND HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "TETCHI",
        "authorized_official_first_name": "CYRIAQUE",
        "authorized_official_middle_name": "GEORGINI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-965-3632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN-FPA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Vinik
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• Nurse Practitioner in Naperville, IL
• Providers in Naperville, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.