| Ellie Mental Health | |
|
745 Mcclintock Dr Ste 100 Burr Ridge IL 60527-0863 | |
| (630) 491-6846 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Psychologist |
| Location | 745 Mcclintock Dr Ste 100, Burr Ridge, Illinois |
| Authorized Official Name and Position | Prabhdeep Kaur (OWNER) |
| Authorized Official Contact | 6304916846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 745 Mcclintock Dr Ste 100 Burr Ridge IL 60527-0863 Ph: (630) 491-6846 | Ellie Mental Health 745 Mcclintock Dr Ste 100 Burr Ridge IL 60527-0863 Ph: (630) 491-6846 |
| NPI Number | 1669180493 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 4789044314 |
|---|---|
| Medicare Enrollment ID | O20230714001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669180493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992104376 PECOS PAC ID: 8628394616 Enrollment ID: I20150310002527 |
| Provider Name | Prabhdeep Kaur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851942155 PECOS PAC ID: 3375977887 Enrollment ID: I20191216001653 |
| Provider Name | Megan Marie Stranski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497374326 PECOS PAC ID: 7618343229 Enrollment ID: I20221024001502 |
| Provider Name | Krystel Segovia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154034650 PECOS PAC ID: 4981076536 Enrollment ID: I20230208002744 |
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