PSYCHIATRIC WELLNESS SUITE PLLC
NPI 1982469359
Nurse Practitioner - Psychiatric/Mental Health in Evanston, IL

Active since February 15, 2024
2603 BROADWAY AVE, EVANSTON, IL 60201(847) 961-2293(847) 321-7495 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Psychiatric Wellness Suite Pllc NPPES

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

PSYCHIATRIC WELLNESS SUITE PLLC (NPI 1982469359) is a healthcare organization registered as a psychiatric/mental health in Evanston, Illinois and active in the NPI registry since February 2024. The organization lists Melissa Gabriele Frick, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1982469359
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePSYCHIATRIC WELLNESS SUITE PLLC
Location Address2603 BROADWAY AVEEvanston, IL 60201-1501
Mailing Address2603 Broadway AveEvanston, IL 60201-1501 · (847) 961-2293 · Fax (847) 321-7495
Fax(847) 321-7495
Organization SubpartNo
Authorized OfficialMelissa Gabriele FrickPsychiatric Nurse Practitioner · (847) 961-2293
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1982469359 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
2603 BROADWAY AVE, Evanston, IL 60201

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychiatric Wellness Suite Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Psychiatric Wellness Suite PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1215235411
405 CENTRAL AVE
Northfield, IL 60093
(847) 441-5600
✔ PECOS✔ Accepts Medicare4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychiatric Wellness Suite PLLC's NPI number?

The NPI number for Psychiatric Wellness Suite PLLC is 1982469359. It was assigned to this organization in the NPPES registry on February 15, 2024.

Where is Psychiatric Wellness Suite PLLC located?

Psychiatric Wellness Suite PLLC is located at 2603 Broadway Ave, Evanston, IL 60201. The listed phone number is (847) 961-2293.

What is Psychiatric Wellness Suite PLLC's specialty?

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

Is Psychiatric Wellness Suite PLLC enrolled in Medicare?

Yes. Psychiatric Wellness Suite PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychiatric Wellness Suite PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Psychiatric Wellness Suite PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psychiatric Wellness Suite PLLC was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.