SOPHBRIA WELLNESS AND BEHAVIORAL HEALTH PLLC
NPI 1093675522
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since November 17, 2025
2045 W GRAND AVE STE B, CHICAGO, IL 60612(773) 430-0686 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sophbria Wellness And Behavioral Health Pllc NPPES

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

SOPHBRIA WELLNESS AND BEHAVIORAL HEALTH PLLC (NPI 1093675522) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since November 2025. The organization lists Monica Cervantes, Owner, as its authorized official.

NPPES Registry Identity

NPI1093675522
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOPHBRIA WELLNESS AND BEHAVIORAL HEALTH PLLC
Location Address2045 W GRAND AVE STE BChicago, IL 60612-1577
Mailing Address465 W Highplains RdRound Lake, IL 60073-4269
Organization SubpartNo
Authorized OfficialMonica CervantesOwner · (773) 430-0686
Enumeration DateNovember 17, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1093675522 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
2045 W GRAND AVE STE B, Chicago, IL 60612

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophbria Wellness And Behavioral Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sophbria Wellness And Behavioral Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1356197545
465 W HIGHPLAINS RD
Round Lake, IL 60073
(773) 430-0686
✔ PECOS✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sophbria Wellness And Behavioral Health PLLC's NPI number?

The NPI number for Sophbria Wellness And Behavioral Health PLLC is 1093675522. It was assigned to this organization in the NPPES registry on November 17, 2025.

Where is Sophbria Wellness And Behavioral Health PLLC located?

Sophbria Wellness And Behavioral Health PLLC is located at 2045 W Grand Ave Ste B, Chicago, IL 60612. The listed phone number is (773) 430-0686.

What is Sophbria Wellness And Behavioral Health PLLC's specialty?

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

Is Sophbria Wellness And Behavioral Health PLLC enrolled in Medicare?

Yes. Sophbria Wellness And Behavioral Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sophbria Wellness And Behavioral Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sophbria Wellness And Behavioral Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sophbria Wellness And Behavioral Health PLLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.