Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SERENITY MIND COLLABORATIVE
NPI 1164320776
Nurse Practitioner - Psychiatric/Mental Health in Bellwood, IL

Active since October 26, 2026
1022 23RD AVE, BELLWOOD, IL 60104(312) 685-1163(734) 715-2358 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Serenity Mind Collaborative NPPES

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

SERENITY MIND COLLABORATIVE (NPI 1164320776) is a healthcare organization registered as a psychiatric/mental health in Bellwood, Illinois and active in the NPI registry since October 2026. The organization lists Wytonya Byrd, Owner, as its authorized official.

NPPES Registry Identity

NPI1164320776
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITY MIND COLLABORATIVE
Location Address1022 23RD AVEBellwood, IL 60104-2509
Mailing Address980 N Michigan AveChicago, IL 60611-4501 · (312) 685-1163 · Fax (734) 715-2358
Fax(734) 715-2358
Organization SubpartNo
Authorized OfficialWytonya ByrdOwner · (312) 685-1163
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1164320776 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
1022 23RD AVE, Bellwood, IL 60104

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

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

Nurse Practitioner (Psychiatric/Mental Health)
1022 23RD AVE
BELLWOOD, IL 60104

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 Serenity Mind Collaborative's NPI number?

The NPI number for Serenity Mind Collaborative is 1164320776. It was assigned to this organization in the NPPES registry on October 26, 2026.

Where is Serenity Mind Collaborative located?

Serenity Mind Collaborative is located at 1022 23rd Ave, Bellwood, IL 60104. The listed phone number is (312) 685-1163.

What is Serenity Mind Collaborative'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 Serenity Mind Collaborative was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.