Organization Active NPI

Obsidian Integrative Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Verona, WI
National Provider Identifier
1598698243
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OBSIDIAN INTEGRATIVE PSYCHIATRY, LLC
Practice address
9517 Silverstone LN
Verona, WI 53593-9185
Phone
(608) 692-5828
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Nicole Cui-Ming Li, DNP-PMHNPNPI 1689943250
Title
Owner
Phone
(608) 692-5828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9517 Silverstone LN
Verona, WI 53593-9185

Mailing address

9517 Silverstone LN
Verona, WI 53593-9185
Phone (608) 692-5828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1598698243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 SILVERSTONE LN",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939185",
            "telephone_number": "608-692-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 SILVERSTONE LN",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939185",
            "telephone_number": "608-692-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSIDIAN INTEGRATIVE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "CUI-MING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-692-5828",
        "authorized_official_credential": "DNP-PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.