Individual provider Active NPI

Sariette Ngandjo Yepndjouo

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1821680232
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.003845 Issued in IL
Practice address
24012 W Renwick Rd
Plainfield, IL 60544-8722
Phone
(331) 330-7228
Fax
(775) 459-7002
NPI assigned
Feb 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.003845 IL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 041465208 IL

Addresses

Primary practice location

24012 W Renwick Rd
Plainfield, IL 60544-8722

Mailing address

125 Yarrow
Romeoville, IL 60446-3951
Phone (630) 617-1744

Other practice location 1

3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220915001814 IL Practitioner - Nurse Practitioner 4880079532 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041465208ILMDPsychiatric/Mental Health Registered Nurse
209.024776ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 14, 2025 Accepting new patients
TMS Clinical Services PLLC CurrentSince Aug 25, 2022 Accepting new patients
County of Lake CurrentSince Nov 11, 2024 Accepting new patients
Brave Health Medical Group PA CurrentSince Feb 1, 2024 Accepting new patients
County of Lake Current Accepting new patients
County of Lake CurrentSince Nov 11, 2024 Accepting new patients
Brainease LLC Psychiatric/Mental Health Current Accepting new patients
Brainease PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone (305) 699-3101

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

14300 S Ravinia Ave
Ste 100
Orland Park, IL 60462
Phone (855) 205-4764

24012 W Renwick Rd
Ste 200
Plainfield, IL 60544
Phone (815) 255-3899

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1821680232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 YARROW",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463951",
            "telephone_number": "630-617-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448722",
            "telephone_number": "331-330-7228",
            "fax_number": "775-459-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852321",
            "country_code": "US",
            "telephone_number": "847-377-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGANDJO YEPNDJOUO",
        "first_name": "SARIETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.003845",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041465208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.