Individual provider Active NPI

Samantha Elizabeth Lynch, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Brook, IL
National Provider Identifier
1508551326
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209027017 Issued in IL
Practice address
1200 Harger Rd Ste 200
Oak Brook, IL 60523-1816
Phone
(630) 607-0387
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209027017 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209027017 IL Primary

Addresses

Primary practice location

1200 Harger Rd Ste 200
Oak Brook, IL 60523-1816

Mailing address

377 E Butterfield Rd Ste 230
Lombard, IL 60148-5640
Phone (630) 607-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712002660 IL Practitioner - Nurse Practitioner 9537529383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Solutions, IncGroup PAC ID 9638535354, 25 clinicians

Practice addresses (Care Compare)

1200 Harger Rd
Suite 200
Oak Brook, IL 60523-1816
Phone (630) 607-0387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027017ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Solutions Inc. CurrentSince May 30, 2023 Accepting new patients

Locations

8 S Michigan Ave
Ste 1505
Chicago, IL 60603
Phone (312) 263-2828

1721 Moon Lake Blvd
Ste 201
Hoffman Estates, IL 60169
Phone (630) 607-0387

377 E Butterfield Rd
Ste 230
Lombard, IL 60148

1284 Rickert Dr
Ste 200
Naperville, IL 60540
Phone (630) 607-0387

1200 Harger Rd
Ste 200
Oak Brook, IL 60523
Phone (630) 556-8914

14489 John Humphrey Dr
Ste 201
Orland Park, IL 60462

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1508551326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 E BUTTERFIELD RD STE 230",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485640",
            "telephone_number": "630-607-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARGER RD STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231816",
            "telephone_number": "630-607-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209027017",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.