1. Home
  2. Directory
  3. Illinois
  4. Midlothian
  5. Clinic Center
  6. NPI Profile

OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE
NPI 1003795907
Clinic/Center - Adult Mental Health in Midlothian, IL

Active since August 27, 2025
4720 147TH ST, MIDLOTHIAN, IL 60445(708) 433-9890(888) 592-0804 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Mar 19, 2026 (2 updates tracked since 2026).

About Obsidian Institute Of Integrative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE (NPI 1003795907) is a healthcare organization registered as an adult mental health in Midlothian, Illinois and active in the NPI registry since August 2025. The organization lists Erica Washington, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1003795907
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameOBSIDIAN INSTITUTE OF INTEGRATIVE MEDICINE
Location Address4720 147TH STMidlothian, IL 60445-2527
Mailing Address4720 147th StMidlothian, IL 60445-2527 · (708) 704-0489 · Fax (888) 592-0804
Phone(708) 433-9890
Fax(888) 592-0804
Organization SubpartNo
Authorized OfficialErica WashingtonDirector Of Operations · (708) 462-2134
Enumeration DateAugust 27, 2025
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1003795907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
4720 147TH ST, Midlothian, IL 60445
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obsidian Institute Of Integrative Medicine's NPI number?

The NPI number for Obsidian Institute Of Integrative Medicine is 1003795907. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Obsidian Institute Of Integrative Medicine located?

Obsidian Institute Of Integrative Medicine is located at 4720 147th St, Midlothian, IL 60445. The listed phone number is (708) 433-9890.

What is Obsidian Institute Of Integrative Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Obsidian Institute Of Integrative Medicine was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.