Individual provider Active NPI

Khyati V Patel, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1891402012
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209026281 Issued in IL
Practice address
1701 E Woodfield Rd Ste 401
Schaumburg, IL 60173-5126
Phone
(224) 269-4549
Fax
(224) 347-1141
NPI assigned
Oct 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209026281 IL Primary

Addresses

Primary practice location

1701 E Woodfield Rd Ste 401
Schaumburg, IL 60173-5126

Mailing address

PO Box 8012
Bartlett, IL 60103-8012
Phone (847) 312-1864

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
I20231012000273 IL Practitioner - Nurse Practitioner 5395190235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brighter Life Behavioral Services P.CGroup PAC ID 5698189579, 5 clinicians

Practice addresses (Care Compare)

1701 E Woodfield Rd
Suite 401
Schaumburg, IL 60173-5126
Phone (224) 269-4549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209026281ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Life Behavioral Services P.C Psychiatric/Mental Health CurrentSince Sep 5, 2023 Accepting new patients
Open Mind Counseling Services Inc Psychiatric/Mental Health CurrentSince Oct 30, 2022 Accepting new patients

Locations

1701 E Woodfield Rd
Ste 401
Schaumburg, IL 60173
Phone (224) 269-4549

1821 Walden Office Sq
Ste 400
Schaumburg, IL 60173
Phone (323) 488-4863

1701 E Woodfield Rd
Ste 435
Schaumburg, IL 60173
Phone (224) 269-4549

Organizations & group practices 2

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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1891402012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8012",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601038012",
            "telephone_number": "847-312-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735126",
            "telephone_number": "224-269-4549",
            "fax_number": "224-347-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHYATI",
        "middle_name": "V",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.