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HYDE PARK MENTAL WELLNESS
NPI 1114574886
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since August 19, 2019
1525 E 55TH ST STE 205, CHICAGO, IL 60615(773) 834-3561(405) 307-7611 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2019, Aug 19, 2019 (2 updates tracked since 2019).

About Hyde Park Mental Wellness NPPES

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

HYDE PARK MENTAL WELLNESS (NPI 1114574886) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since August 2019. The organization lists Andrew Richardson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114574886
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHYDE PARK MENTAL WELLNESS
Location Address1525 E 55TH ST STE 205Chicago, IL 60615-5584
Mailing Address1525 E 55th St Ste 205Chicago, IL 60615-5584 · (773) 834-3561 · Fax (405) 307-7611
Phone(773) 834-3561
Fax(405) 307-7611
Organization SubpartNo
Authorized OfficialAndrew RichardsonOwner · (773) 834-3561
Enumeration DateAugust 19, 2019
Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration
✔ NPI 1114574886 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
1525 E 55TH ST STE 205, Chicago, IL 60615
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Hyde Park Mental Wellness's NPI number?

The NPI number for Hyde Park Mental Wellness is 1114574886. It was assigned to this organization in the NPPES registry on August 19, 2019.

Where is Hyde Park Mental Wellness located?

Hyde Park Mental Wellness is located at 1525 E 55th St Ste 205, Chicago, IL 60615. The listed phone number is (773) 834-3561.

What is Hyde Park Mental Wellness'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 Hyde Park Mental Wellness was last updated on October 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.