NEST PSYCHOTHERAPY PLLC NPI 1790318301

NPI Information

  • NPI: 1790318301
  • Provider Name: NEST PSYCHOTHERAPY PLLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Former Legal Business Name: NEST PSYCHOTHERAPY LLC
  • Address: 4633 N WESTERN AVE
    SUITE 200
    CHICAGO, IL
    ZIP 60625
  • Phone: (847) 348-9849

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NPI Details

NEST PSYCHOTHERAPY PLLC is an adolescent and children mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NEST PSYCHOTHERAPY PLLC NPI is 1790318301. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Nest Psychotherapy Llc.

The provider's business location address is:

4633 N WESTERN AVE
SUITE 200
CHICAGO, IL
ZIP 60625-181
Phone: (847) 348-9849

The provider's authorized official is Joanna Villacorta Griffin .
The authorized official title is Psychotherapist, Owner and has the following contact phone number (847) 348-9849.

The enumeration date for this NPI number is 2/21/2020 and was last updated on 7/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114456134MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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