Active NPI
Envision Health & Wellness, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Algonquin, IL
National Provider Identifier
1871340349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ENVISION HEALTH & WELLNESS, PLLC
- Practice address
- 1316 E Algonquin Rd Ste 106
Algonquin, IL 60102-4227 - Phone
- (224) 578-8991
- NPI assigned
- May 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle J Bator, PMHNP-BC, FNP-BC
- Title
- Ceo/Owner
- Phone
- (224) 578-8991
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1316 E Algonquin Rd Ste 106
Algonquin, IL 60102-4227
Mailing address
1316 E Algonquin Rd Ste 106
Algonquin, IL 60102-4227
Phone (224) 578-8991
National Provider Directory
National Provider DirectoryLocations
1316 E Algonquin Rd
Ste 106
Algonquin, IL 60102
Phone (224) 409-7003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715472000000",
"number": "1871340349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 E ALGONQUIN RD STE 106",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601024227",
"telephone_number": "224-578-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 E ALGONQUIN RD STE 106",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601024227",
"telephone_number": "224-578-8991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION HEALTH & WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-12",
"certification_date": "2024-05-12",
"status": "A",
"authorized_official_last_name": "BATOR",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "224-578-8991",
"authorized_official_credential": "PMHNP-BC, FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.