Organization Active NPI

Genesis Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Lenox, IL
National Provider Identifier
1679456446
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GENESIS PSYCHIATRY LLC
Practice address
125 W Maple St
New Lenox, IL 60451-1739
Phone
(815) 408-0988
Fax
(815) 408-1081
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Jarryd Edward McGuire, APRNNPI 1154998342
Title
Owner
Phone
(815) 408-0988

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

125 W Maple St
New Lenox, IL 60451-1739

Mailing address

125 W Maple St
New Lenox, IL 60451-1739
Phone (815) 408-0988

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": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1679456446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511739",
            "telephone_number": "815-408-0988",
            "fax_number": "815-408-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511739",
            "telephone_number": "815-408-0988",
            "fax_number": "815-408-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "JARRYD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-408-0988",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.