MINDFUL RESILIENCE PSYCHIATRY LLC
NPI 1588539712
Nurse Practitioner in Decatur, IL
- Organization
- Nurse Practitioner
About MINDFUL RESILIENCE PSYCHIATRY LLC
This page provides the complete NPI Profile along with additional information for Mindful Resilience Psychiatry Llc, a provider established in Decatur, Illinois operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1588539712 assigned on October 2025. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Victoria P Matthews Dnp (Nurse Practitioner)
- NPI
- 1588539712 Verify this NPI
- Provider Name
- MINDFUL RESILIENCE PSYCHIATRY LLC
- Entity Type
- Organization
- Location Address
- 4680 E BAKER WOODS LN DECATUR, IL 62521
- Location Phone
- (217) 853-8413
- Mailing Address
- 4680 E BAKER WOODS LN DECATUR, IL 62521
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2025
- Last Update Date
- 10-07-2025
- Code Navigator
A nurse practitioner (NP) like Mindful Resilience Psychiatry Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588539712, enumerated as an "organization" on October 07, 2025.
The provider is located at 4680 E BAKER WOODS LN DECATUR, IL 62521 and the phone number is (217) 853-8413.
Nurse Practitioner with taxonomy code 363L00000X.
