| Ally Mental Health, Pllc | |
|
800 Roosevelt Road Building B, Suite 419a Glen Ellyn IL 60137 | |
| (630) 908-0098 | |
| Not Available |
| Full Name | Ally Mental Health, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 800 Roosevelt Road, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Sultan Seda Hasapis (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6309080098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ally Mental Health, Pllc 800 Roosevelt Road Building B, Suite 419a Glen Ellyn IL 60137 Ph: (630) 908-0098 | Ally Mental Health, Pllc 800 Roosevelt Road Building B, Suite 419a Glen Ellyn IL 60137 Ph: (630) 908-0098 |
| NPI Number | 1407617889 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 9830639129 |
|---|---|
| Medicare Enrollment ID | O20240913000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407617889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sultan S Hasapis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639510555 PECOS PAC ID: 2668774829 Enrollment ID: I20160105000917 |
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