Divine Design Psychiatry and Wellness PLLC
NPI 1104779750 · Psychiatric/Mental Health Nurse Practitioner · O Fallon, IL
Divine Design Psychiatry and Wellness PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in O Fallon, IL (NPI 1104779750).
Provider details
- NPI number
- 1104779750
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Angela Severado, Nurse Practitioner/Owner(217) 816-7928
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-16
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Divine Design Psychiatry and Wellness PLLC's NPI number?
- Divine Design Psychiatry and Wellness PLLC's National Provider Identifier (NPI) is 1104779750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Design Psychiatry and Wellness PLLC?
- Divine Design Psychiatry and Wellness PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Divine Design Psychiatry and Wellness PLLC located?
- Divine Design Psychiatry and Wellness PLLC's practice location on file with NPPES is 853 Chesapeake Junction Ln, O Fallon, IL 62269-7035.
- What is Divine Design Psychiatry and Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Design Psychiatry and Wellness PLLC is (217) 816-7928.
- Who is the authorized official for Divine Design Psychiatry and Wellness PLLC?
- The authorized official listed on Divine Design Psychiatry and Wellness PLLC's NPPES record is Angela Severado, Nurse Practitioner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Design Psychiatry and Wellness PLLC's NPI active?
- Yes — Divine Design Psychiatry and Wellness PLLC's NPI (1104779750) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.