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

CHANGE IN MIND PSYCHIATRY PLLC
NPI 1912822024
Nurse Practitioner - Psychiatric/Mental Health in Kankakee, IL

Q: What is Change In Mind Psychiatry PLLC's NPI number?

The NPI number for Change In Mind Psychiatry PLLC is 1912822024. It was assigned to this organization in the NPPES registry on August 10, 2026.

Q: What is Change In Mind Psychiatry PLLC's specialty?

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

Active since August 10, 2026

150 N SCHUYLER AVE STE 205, KANKAKEE, IL 60901(815) 998-5786(815) 205-4493 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Change In Mind Psychiatry Pllc NPPES

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

CHANGE IN MIND PSYCHIATRY PLLC (NPI 1912822024) is a healthcare organization registered as a psychiatric/mental health in Kankakee, Illinois and active in the NPI registry since August 2026. The organization lists Beth A Davison, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1912822024

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCHANGE IN MIND PSYCHIATRY PLLC

Location Address150 N SCHUYLER AVE STE 205Kankakee, IL 60901-3862

Mailing Address150 N Schuyler Ave Ste 205Kankakee, IL 60901-3862 · (815) 998-5786 · Fax (815) 205-4493

Phone(815) 998-5786

Fax(815) 205-4493

Organization SubpartNo

Authorized OfficialBeth A DavisonManaging Member · (815) 998-5786

Enumeration DateAugust 10, 2026

NPPES CertifiedAugust 10, 2026

✔ NPI 1912822024 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

150 N SCHUYLER AVE STE 205, Kankakee, IL 60901

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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

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 Change In Mind Psychiatry PLLC's NPI number?

The NPI number for Change In Mind Psychiatry PLLC is 1912822024. It was assigned to this organization in the NPPES registry on August 10, 2026.

Where is Change In Mind Psychiatry PLLC located?

Change In Mind Psychiatry PLLC is located at 150 N Schuyler Ave Ste 205, Kankakee, IL 60901. The listed phone number is (815) 998-5786.

What is Change In Mind Psychiatry PLLC'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 Change In Mind Psychiatry PLLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.