Rachel Amodu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.025734 Issued in IL

Practice address

Holistic Behavioral and TMS Therapy
75 Executive Dr
Aurora, IL 60504

Phone

(773) 386-0509

Fax

(866) 314-6133

NPI assigned

Sep 12, 2016

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Serene HealthGroup PAC ID 0244652139, 23 clinicians

Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tinley Park, IL
  • NPI 1265182992
  Medicare reassignment Care Compare group NPD
• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  IL, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Counseling and Diagnostic Center of Woodfield, LTD.

  • Clinical Psychologist
  • Schaumburg, IL
  • NPI 1821151135
  Medicare reassignment NPD
• Mava Healthcare Systems PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Ellyn, IL
  • NPI 1538931902
  Medicare reassignment NPD
• Perspective Behavioral and Pain Solutions LTD

  • Psychologist
  • Rosemont, IL
  • NPI 1326671702
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, Psychiatric/Mental Health

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IL

  Medicare reassignment
• Housecall Health Group Inc

  • Family Medicine Physician
  • Niles, IL
  • NPI 1649091083
  NPD
• Vanguard Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincolnwood, IL
  • NPI 1255116976
  NPD
• Serene Health Ipa

  • Psychiatric/Mental Health Nurse Practitioner
  • Aiken, SC
  • NPI 1235950080
  NPD
• MB Clinical Psychology & Consulting, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1700499209
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1558819219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARKWAY DR",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694322",
            "telephone_number": "773-386-0509",
            "fax_number": "866-314-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLISTIC BEHAVIORAL AND TMS THERAPY",
            "address_2": "75 EXECUTIVE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "773-386-0509",
            "fax_number": "866-314-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Lincolnshire",
            "state": "IL",
            "postal_code": "600694322",
            "country_code": "US",
            "telephone_number": "540-816-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMODU",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.025734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Home Health
• American Home Health
• American Therapy Professionals LLC
• Amity Psychological Services, Inc
• Amity Psychological Services, Inc (Aps)
• Stephanie Y Amor-Arteaga, FNP
• Amperss Diagnostic Imaging Inc.
• Amy Newkirk DMD LLC
• Amy Rojas, M.a., CCC-SLP/L, Inc.
• Elysia An, D.D.S

• Psychiatric/Mental Health Nurse Practitioner in Aurora, IL
• Providers in Aurora, 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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.