Ginah Haynes, APRN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209035571 Issued in IL

Practice address

18141 Dixie Hwy
Homewood, IL 60430-2238

Phone

(708) 323-9620

NPI assigned

Jul 15, 2026

Last updated

Jul 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1447179122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18141 DIXIE HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18141 DIXIE HWY",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302238",
            "telephone_number": "708-323-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "GINAH",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209035571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Kristina Harris
• Aquanetta Kristine Hart
• Courtney Hatcher, MD
• Eric Havens
• Simone Hawkins, BCBA 1-20-42376
• Stephanie Haywood, LCPC
• HB Cic Community Identity Care Services (CIC Services)
• Healing With Purpose Therapy Services LLC
• Heartland Wellness Center PLLC
• Patricia Heath, MOTOTRL

• 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 Jul 15, 2026; 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.