Mindful Resilience Psychiatry LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MINDFUL RESILIENCE PSYCHIATRY LLC

Practice address

4680 E Baker Woods LN
Decatur, IL 62521-4282

Phone

(217) 853-8413

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By 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

Victoria P Matthews, DNPNPI 1275002701

Title

Nurse Practitioner

Phone

(217) 853-8413

Specialties & licenses 1

Addresses

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.

• Victoria Princess Matthews, FNP

  • Nurse Practitioner
  • Decatur, IL
  • NPI 1275002701
  NPD Authorized official

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1588539712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 E BAKER WOODS LN",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 E BAKER WOODS LN",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214282",
            "telephone_number": "217-853-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL RESILIENCE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "217-853-8413",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy A Miller, M.D.
• Whitney Miller
• Will Daniel Miller, P.A.
• Jackson Milligan
• Millikin University (Millikin University Athletics)
• Minds Matter Behavioral Health and Consultation Services LLC
• Stephen Miner, RBT
• Mohamad Minhem, M.D.
• Judy Ann Minton, CNP
• Michelle Elizabeth Minton, LCPC

• Nurse Practitioner in Decatur, IL
• Providers in Decatur, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.