CHICAGO NERD THERAPY, PLLC
NPI 1164003190
Clinic/Center - Adult Mental Health in Chicago, IL

Active since April 20, 2021
5230 N MOBILE AVE, CHICAGO, IL 60630(312) 270-0098 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chicago Nerd Therapy, Pllc NPPES

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

CHICAGO NERD THERAPY, PLLC (NPI 1164003190), doing business as Keystone Mental Health, is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since April 2021. The organization lists Eric Koll, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1164003190
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCHICAGO NERD THERAPY, PLLC
Location Address5230 N MOBILE AVEChicago, IL 60630-1010
Mailing Address4306 N Lincoln Ave Unit 2fChicago, IL 60618-1712 · (312) 270-0098
Organization SubpartNo
Authorized OfficialEric KollClinical Social Worker · (312) 270-0098
Enumeration DateApril 20, 2021
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1164003190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
5230 N MOBILE AVE, Chicago, IL 60630

Other Names 2

Other NameChicago Nerd Therapy, Pllc
Doing Business AsKeystone Mental Health

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 Chicago Nerd Therapy, PLLC's NPI number?

The NPI number for Chicago Nerd Therapy, PLLC is 1164003190. It was assigned to this organization in the NPPES registry on April 20, 2021. The provider is doing business as Keystone Mental Health.

Where is Chicago Nerd Therapy, PLLC located?

Chicago Nerd Therapy, PLLC is located at 5230 N Mobile Ave, Chicago, IL 60630. The listed phone number is (312) 270-0098.

What is Chicago Nerd Therapy, PLLC'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 Chicago Nerd Therapy, PLLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.