Active NPI
Mandy Lusung, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209026954
- Practice address
- 1200 Harger Rd Ste 200
Oak Brook, IL 60523-1816 - Phone
- (630) 607-0387
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209026954 | IL | Primary |
Addresses
Primary practice location
1200 Harger Rd Ste 200
Oak Brook, IL 60523-1816
Mailing address
1200 Harger Rd Ste 200
Oak Brook, IL 60523-1816
Phone (630) 607-0387
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 Harger Rd
Suite 200
Oak Brook, IL 60523-1816
Phone (630) 607-0387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psychiatric Solutions Inc. | Current | Accepting new patients | |
| MD Medical, LLC | Past | Accepting new patients |
Locations
1721 Moon Lake Blvd
Ste 201
Hoffman Estates, IL 60169
Phone (630) 607-0387
377 E Butterfield Rd
Ste 230
Lombard, IL 60148
1284 Rickert Dr
Ste 200
Naperville, IL 60540
Phone (630) 607-0387
1200 Harger Rd
Ste 200
Oak Brook, IL 60523
Phone (630) 556-8914
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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Oak Brook, IL
- NPI 1548791452
-
- Psychiatry Physician
- Chicago, IL
- NPI 1467754911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1992403760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 HARGER RD STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231816",
"telephone_number": "630-607-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HARGER RD STE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231816",
"telephone_number": "630-607-0387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSUNG",
"first_name": "MANDY",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209026954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
- Louisa K Gehlmann MD SC
- Zachary Michael Loveland, MSW, LCSW
- Angela M Lovett, OT
- Donna Lynn Loza, LPC, CADC, MISA I
- Charles V Lozada, CRNA
- Janet Nancy Luszczki, PT
- Lutheran Child and Family Services of Illinois
- Luxottica of America Inc.
- Luxottica of America Inc.
- Carmen Maria Tumialan Lynas, MS, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.