Dynasty 57 Behavioral Health LLC
NPI 1689538563 · Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dynasty 57 Behavioral Health LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Chicago, IL (NPI 1689538563).
Provider details
- NPI number
- 1689538563
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Modupe Olukeye, Owner(773) 234-1067
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
- 2025-12-15
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is Dynasty 57 Behavioral Health LLC's NPI number?
- Dynasty 57 Behavioral Health LLC's National Provider Identifier (NPI) is 1689538563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dynasty 57 Behavioral Health LLC?
- Dynasty 57 Behavioral Health LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dynasty 57 Behavioral Health LLC located?
- Dynasty 57 Behavioral Health LLC's practice location on file with NPPES is 2206 W Greenleaf Ave, Chicago, IL 60645-4804.
- What is Dynasty 57 Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Dynasty 57 Behavioral Health LLC is (773) 234-1067.
- Does Dynasty 57 Behavioral Health LLC accept Medicare?
- Dynasty 57 Behavioral Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dynasty 57 Behavioral Health LLC?
- The authorized official listed on Dynasty 57 Behavioral Health LLC's NPPES record is Modupe Olukeye, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dynasty 57 Behavioral Health LLC's NPI active?
- Yes — Dynasty 57 Behavioral Health LLC's NPI (1689538563) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.