Healthcare Provider Details

I. General information

NPI: 1699633115
Provider Name (Legal Business Name): SARAH PIPER MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 W WEBSTER AVE
CHICAGO IL
60614-2934
US

IV. Provider business mailing address

25052 W PAWNEE LN
CHANNAHON IL
60410-3311
US

V. Phone/Fax

Practice location:
  • Phone: 773-253-9002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041582223
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN10014491
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209035794
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: