Psychiatric Wellness Suite PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PSYCHIATRIC WELLNESS SUITE PLLC

Practice address

2603 Broadway Ave
Evanston, IL 60201-1501

Phone

(847) 961-2293

Fax

(847) 321-7495

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Melissa Gabriele Frick, DNP, APRN, PMHNP-BCNPI 1215235411

Title

Psychiatric Nurse Practitioner

Phone

(847) 961-2293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa G Frick, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northfield, IL
  • NPI 1215235411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1982469359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 BROADWAY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011501",
            "telephone_number": "847-961-2293",
            "fax_number": "847-321-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BROADWAY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011501",
            "telephone_number": "847-961-2293",
            "fax_number": "847-321-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC WELLNESS SUITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "FRICK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "GABRIELE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "847-961-2293",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rohlfing Pryor, PH.D.
• Amber Przybyla, LPC-I
• Jacob P Przydzial, DC
• Psyche Net Inc
• Psychealth, LTD.
• Nathaniel A Puent, APN-CRNA
• Marc Oscar Punkay
• Christopher John Puntasecca, MD
• Jenna Lynn Purdy, M.D.
• Amit Khiman Pursnani, MD

• Psychiatric/Mental Health Nurse Practitioner in Evanston, IL
• Providers in Evanston, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.