INK & IVY PSYCHIATRY, LLC
NPI 1023948973
Nurse Practitioner - Psychiatric/Mental Health in Dieterich, IL

Active since May 21, 2026
203 S MAIN ST, DIETERICH, IL 62424(618) 852-1395 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ink & Ivy Psychiatry, Llc NPPES

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

INK & IVY PSYCHIATRY, LLC (NPI 1023948973) is a healthcare organization registered as a psychiatric/mental health in Dieterich, Illinois and active in the NPI registry since May 2026. The organization lists Jacklyn Stanley, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1023948973
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINK & IVY PSYCHIATRY, LLC
Location Address203 S MAIN STDieterich, IL 62424-1128
Mailing Address113 E Walnut StNoble, IL 62868-1709
Organization SubpartNo
Authorized OfficialJacklyn StanleyPmhnp · (618) 852-1395
Enumeration DateMay 21, 2026
NPPES CertifiedMay 21, 2026
NPI 1023948973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
203 S MAIN ST, Dieterich, IL 62424

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
203 S MAIN ST
DIETERICH, IL 62424
Clinic/Center (Mental Health (Including Community Mental Health Center))
203 S MAIN ST
DIETERICH, IL 62424
Nurse Practitioner
203 S MAIN ST
DIETERICH, IL 62424

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 Ink & Ivy Psychiatry, LLC's NPI number?

The NPI number for Ink & Ivy Psychiatry, LLC is 1023948973. It was assigned to this organization in the NPPES registry on May 21, 2026.

Where is Ink & Ivy Psychiatry, LLC located?

Ink & Ivy Psychiatry, LLC is located at 203 S Main St, Dieterich, IL 62424. The listed phone number is (618) 852-1395.

What is Ink & Ivy Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ink & Ivy Psychiatry, LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.