BEVERLY PSYCHIATRIC SERVICES LLC
NPI 1659135416
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since February 12, 2024
10406 S WESTERN AVE, CHICAGO, IL 60643(312) 857-4475(773) 666-7241 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Jul 5, 2024 (2 updates tracked since 2024).

About Beverly Psychiatric Services Llc NPPES

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

BEVERLY PSYCHIATRIC SERVICES LLC (NPI 1659135416) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since February 2024. The organization lists Douglas O Nyenke, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1659135416
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBEVERLY PSYCHIATRIC SERVICES LLC
Location Address10406 S WESTERN AVEChicago, IL 60643-2508
Mailing Address10406 S Western AveChicago, IL 60643-2508 · (312) 857-4475 · Fax (773) 666-7241
Fax(773) 666-7241
Organization SubpartNo
Authorized OfficialDouglas O NyenkeProvider/owner · (312) 857-4475
Enumeration DateFebruary 12, 2024
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1659135416 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
10406 S WESTERN AVE, Chicago, IL 60643

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

Accepted Insurance

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)
10406 S WESTERN AVE
CHICAGO, IL 60643

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 Beverly Psychiatric Services LLC's NPI number?

The NPI number for Beverly Psychiatric Services LLC is 1659135416. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Beverly Psychiatric Services LLC located?

Beverly Psychiatric Services LLC is located at 10406 S Western Ave, Chicago, IL 60643. The listed phone number is (312) 857-4475.

What is Beverly Psychiatric Services LLC's specialty?

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

What insurance does Beverly Psychiatric Services LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Beverly Psychiatric Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beverly Psychiatric Services LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.