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DR. EMELY DE LA O PSY.D.
NPI 1205285913
Psychologist - Clinical in Chicago, IL

Active since June 03, 2016PECOS Enrolled
3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Emely De La O Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMELY DE LA O PSY.D. (NPI 1205285913) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071009306) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205285913
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EMELY DE LA OCredential: PSY.D.
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address3860 W Ogden AveChicago, IL 60623-2460
Phone(872) 588-3000
Sole ProprietorNo
Enumeration DateJune 3, 2016
✔ NPI 1205285913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071009306
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3860 W OGDEN AVE, Chicago, IL 60623
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emely De La O Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emely De La O reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lawndale Christian Health Center
0.1 mi
Federally Qualified Health Center (FQHC)
3860 W OGDEN AVE
Chicago, IL 60623
  • Reassigned Medicare billing, Illinois enrollment
  • 147 clinicians in this Medicare group
NPI 1245289214 (773) 843-2705

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOONGYU DANIEL SONG MD
Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
ANNA TORNQUIST
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. ALISHA RONETTE TILLMAN DO
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. THOMAS W BOCKLE M.D.
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
EDWIN W MANGRAM II D.D.S.
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LINDSAY J MCCRACKEN P.A.-C
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LISA ANNE WERNER PA
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
MRS. HEIDI MILLER NP
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emely De La O's NPI number?

The NPI number for Emely De La O is 1205285913. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Emely De La O located?

Emely De La O practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (872) 588-3000.

What is Emely De La O's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emely De La O enrolled in Medicare?

Yes. Emely De La O is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emely De La O's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emely De La O reassigns Medicare benefits to Lawndale Christian Health Center (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emely De La O's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emely De La O accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Emely De La O as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emely De La O was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.