Personal Wellness Medical LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PERSONAL WELLNESS MEDICAL LLC

Doing business as

Personal Wellness Psychiatric Services

Practice address

7891 Broadway Ste F
Merrillville, IN 46410-5556

Phone

(219) 444-7946

Fax

(219) 444-4398

NPI assigned

Nov 18, 2025

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Vanderberg, FNP-BC, PMHNP-CNPI 1093019994

Title

Owner

Phone

(219) 614-9528

Specialties & licenses 2

Addresses

Other names 1

• Personal Wellness Psychiatric Services Doing business as

Locations

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.

• Angela M Vanderberg, FNP-BC, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Merrillville, IN
  • NPI 1093019994

  Family

  NPD Authorized official

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1477414621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 W 121ST AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078745",
            "telephone_number": "219-444-7946",
            "fax_number": "219-444-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 BROADWAY STE F",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105556",
            "telephone_number": "219-444-7946",
            "fax_number": "219-444-4398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2646 W Lincoln Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105235",
            "country_code": "US",
            "telephone_number": "219-444-7946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL WELLNESS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "VANDERBERG",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-614-9528",
        "authorized_official_credential": "FNP-BC, PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Wellness Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Performance Physical Therapy of Merrillville
• Perkin Stang MD
• Kismet Perkins
• Jasmine Perry
• Personal Wellness Medical Addiction Services
• Amanda D Peters
• Kelly A Peters, MA
• Michelle M Peters, MSW, LCSW
• Lauren Kay Peterson, LCSW
• Nicole Peterson

• Psychiatric/Mental Health Nurse Practitioner in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.