SHANELL'S PSYCHIATRY CARE
NPI 1598649071
Nurse Practitioner in Bartonville, IL

Active since August 05, 2025
4615 CORREL AVE, BARTONVILLE, IL 61607(833) 221-4169 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 13, 2025, Aug 5, 2025 (2 updates tracked since 2025).

About Shanell's Psychiatry Care NPPES

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

SHANELL'S PSYCHIATRY CARE (NPI 1598649071) is a healthcare organization registered as a nurse practitioner in Bartonville, Illinois and active in the NPI registry since August 2025. The organization lists Shanell Gladson, President, as its authorized official.

NPPES Registry Identity

NPI1598649071
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSHANELL'S PSYCHIATRY CARE
Location Address4615 CORREL AVEBartonville, IL 61607-2618
Mailing Address8420 N Knoxville Ave Ste CPeoria, IL 61615-2032 · (309) 229-0799
Organization SubpartNo
Authorized OfficialShanell GladsonPresident · (309) 229-0799
Enumeration DateAugust 5, 2025
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1598649071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(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.
4615 CORREL AVE, Bartonville, IL 61607

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.

Psychiatry & Neurology (Psychiatry)
4615 CORREL AVE
BARTONVILLE, IL 61607

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 Shanell's Psychiatry Care's NPI number?

The NPI number for Shanell's Psychiatry Care is 1598649071. It was assigned to this organization in the NPPES registry on August 5, 2025.

Where is Shanell's Psychiatry Care located?

Shanell's Psychiatry Care is located at 4615 Correl Ave, Bartonville, IL 61607. The listed phone number is (833) 221-4169.

What is Shanell's Psychiatry Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Shanell's Psychiatry Care was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.