Organization Active NPI

Psychiatric Wellness Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1598674541
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PSYCHIATRIC WELLNESS CARE, LLC
Practice address
975 S Durkin Dr Ste 101
Springfield, IL 62704-8903
Phone
(217) 836-7011
NPI assigned
Sep 4, 2026
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Mrs. Kimberly A Earl, PMHNP, NP-BC
Title
Pmhnp, NP-BC
Phone
(217) 836-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

975 S Durkin Dr Ste 101
Springfield, IL 62704-8903

Mailing address

975 S Durkin Dr Ste 101
Springfield, IL 62704-8903
Phone (217) 836-7011

National Provider Directory

National Provider Directory

Locations

975 S Durkin Dr
Ste 101
Springfield, IL 62704

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1598674541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 S DURKIN DR STE 101",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627048903",
            "telephone_number": "217-836-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S DURKIN DR STE 101",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627048903",
            "telephone_number": "217-836-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC WELLNESS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PMHNP, NP-BC",
        "authorized_official_telephone_number": "217-836-7011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP, NP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.