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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Mitchell Glenn Eustaquio Tan, DNP, APRN,PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner in Rockford, IL · enumerated 2024 · practices at Rockford Psychiatric Medical Services, S.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518787696

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Registry record

Entity type Individual (Type 1)
Name Dr. Mitchell Glenn Eustaquio Tan
Credential DNP, APRN,PMHNP-BC
Sex Male
Practice address Rockford, IL, 61107
Phone (815) 670-1715
Enumeration date Oct 14, 2024
Last updated in NPPES Mar 25, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704421713 (MI) Secondary
163W00000X Registered Nurse Nursing Service Providers · License 041502075 (IL) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1632233 (WI) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209031254 (IL) Primary
DNP · Doctor of Nursing Practice: A clinical doctorate for advanced practice nurses. About the DNP credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mitchell Glenn Tan?
The National Provider Identifier (NPI) for Mitchell Glenn Tan is 1518787696, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mitchell Glenn Tan practice?
The practice location on file with NPPES is in Rockford, IL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-25.