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

SOUTH SHORE PSYCHIATRY AND WELLNESS
NPI 1275438244
Nurse Practitioner - Psychiatric/Mental Health in Matteson, IL

Q: What is South Shore Psychiatry And Wellness's NPI number?

The NPI number for South Shore Psychiatry And Wellness is 1275438244. It was assigned to this organization in the NPPES registry on October 10, 2026.

Q: What is South Shore Psychiatry And Wellness's specialty?

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

Active since October 10, 2026

600 HOLIDAY PLAZA DR STE 182B, MATTESON, IL 60443(312) 650-9685 Get Directions Write a Review

NPPES record added: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About South Shore Psychiatry And Wellness NPPES

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

SOUTH SHORE PSYCHIATRY AND WELLNESS (NPI 1275438244) is a healthcare organization registered as a psychiatric/mental health in Matteson, Illinois and active in the NPI registry since October 2026. The organization lists Adeline Ogbor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275438244

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSOUTH SHORE PSYCHIATRY AND WELLNESS

Location Address600 HOLIDAY PLAZA DR STE 182BMatteson, IL 60443-2236

Mailing Address600 Holiday Plaza Dr Ste 182bMatteson, IL 60443-2236 · (312) 650-9685

Phone(312) 650-9685

Organization SubpartNo

Authorized OfficialAdeline OgborCeo · (312) 650-9685

Enumeration DateOctober 10, 2026

NPPES CertifiedOctober 10, 2026

✔ NPI 1275438244 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

600 HOLIDAY PLAZA DR STE 182B, Matteson, IL 60443

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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 South Shore Psychiatry And Wellness's NPI number?

The NPI number for South Shore Psychiatry And Wellness is 1275438244. It was assigned to this organization in the NPPES registry on October 10, 2026.

Where is South Shore Psychiatry And Wellness located?

South Shore Psychiatry And Wellness is located at 600 Holiday Plaza Dr Ste 182B, Matteson, IL 60443. The listed phone number is (312) 650-9685.

What is South Shore Psychiatry And 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 South Shore Psychiatry And Wellness was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.