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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

VIVID MIND PSYCHIATRIC SERVICES PLLC
NPI 1063335636
Nurse Practitioner - Psychiatric/Mental Health in Libertyville, IL

Active since July 31, 2026
1580 S MILWAUKEE AVE STE 407, LIBERTYVILLE, IL 60048(224) 300-8372 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivid Mind Psychiatric Services Pllc NPPES

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

VIVID MIND PSYCHIATRIC SERVICES PLLC (NPI 1063335636) is a healthcare organization registered as a psychiatric/mental health in Libertyville, Illinois and active in the NPI registry since July 2026. The organization lists Patrycja Mazur, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1063335636
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVIVID MIND PSYCHIATRIC SERVICES PLLC
Location Address1580 S MILWAUKEE AVE STE 407Libertyville, IL 60048-3775
Mailing Address1580 S Milwaukee Ave Ste 407Libertyville, IL 60048-3775
Phone(224) 300-8372
Organization SubpartNo
Authorized OfficialPatrycja MazurPmhnp-bc · (224) 300-8372
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1063335636 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
1580 S MILWAUKEE AVE STE 407, Libertyville, IL 60048
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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 2

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

AUGUST STIEBER
Social Worker (Clinical)
1580 S MILWAUKEE AVE STE 407
LIBERTYVILLE, IL 60048
Lake County (847) 508-3521
DEVIN STIEBER
Social Worker (Clinical)
1580 S MILWAUKEE AVE STE 407
LIBERTYVILLE, IL 60048
Lake County (847) 737-4923

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 Vivid Mind Psychiatric Services PLLC's NPI number?

The NPI number for Vivid Mind Psychiatric Services PLLC is 1063335636. It was assigned to this organization in the NPPES registry on July 31, 2026.

Where is Vivid Mind Psychiatric Services PLLC located?

Vivid Mind Psychiatric Services PLLC is located at 1580 S Milwaukee Ave Ste 407, Libertyville, IL 60048. The listed phone number is (224) 300-8372.

What is Vivid Mind Psychiatric Services PLLC'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 Vivid Mind Psychiatric Services PLLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.