Organization Active NPI

Mind on Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1982112389
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209010790 Issued in IL
Legal business name
MIND ON WELLNESS
Practice address
1011 Lake St Ste 304
Oak Park, IL 60301-1138
Phone
(847) 257-2497
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Dr. Michelle Heyland, DNP, APN, PMHNP-BCNPI 1659709434
Title
Owner
Phone
(847) 257-2497

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 209010790 IL Primary

Addresses

Primary practice location

1011 Lake St Ste 304
Oak Park, IL 60301-1138

Mailing address

1624 N Mohawk St Unit a
Chicago, IL 60614-5624

National Provider Directory

National Provider Directory

Locations

1011 Lake St
Ste 304
Oak Park, IL 60301
Phone (708) 274-7798

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": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1982112389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 N MOHAWK ST UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST STE 304",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011138",
            "telephone_number": "847-257-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ON WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "HEYLAND",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-257-2497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209010790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.