Organization Active NPI

Intentional Healing Psychiatric Center PLLC

  • Psychiatry Physician
  • Oak Lawn, IL
National Provider Identifier
1457212268
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTENTIONAL HEALING PSYCHIATRIC CENTER PLLC
Practice address
4550 W 103Rd St Ste 301D
Oak Lawn, IL 60453-4868
Phone
(708) 223-2682
NPI assigned
Nov 20, 2025
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Dr. Julie Land, MDNPI 1689817942
Title
Manager
Phone
(708) 223-2682

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4550 W 103Rd St Ste 301D
Oak Lawn, IL 60453-4868

Mailing address

9631 S Cicero Ave # 1075
Oak Lawn, IL 60453-3137
Phone (708) 223-2682

National Provider Directory

National Provider Directory

Locations

480 Elm Pl
Ste 110
Highland Park, IL 60035
Phone (847) 433-2046

4550 W 103rd St
Ste 301D
Oak Lawn, IL 60453
Phone (708) 223-2682

Practitioners & affiliated clinicians

Practitioners 1

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": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1457212268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 S CICERO AVE # 1075",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533137",
            "telephone_number": "708-223-2682",
            "fax_number": "708-265-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 103RD ST STE 301D",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534868",
            "telephone_number": "708-223-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL HEALING PSYCHIATRIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-223-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.