Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Psychiatric Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1659135416

Beverly Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10406 S Western Ave
Chicago, IL 60643-2508
Phone: (312) 857-4475
Fax: (773) 666-7241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1659135416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Nyenke — Provider/Owner · (312) 857-4475
NPI enumeratedFebruary 12, 2024
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address10406 S Western Ave, Chicago, IL 60643-2508

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