ETHOS PSYCHOLOGICAL SERVICES LLC
NPI 1316466857
Psychologist - Clinical in Park Ridge, IL

Q: What is Ethos Psychological Services LLC's NPI number?

The NPI number for Ethos Psychological Services LLC is 1316466857. It was assigned to this organization in the NPPES registry on September 15, 2017.

Q: What is Ethos Psychological Services LLC's specialty?

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

Active since September 15, 2017

444 N NORTHWEST HWY STE 375, PARK RIDGE, IL 60068(917) 403-4631 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2022, Sep 15, 2017 (2 updates tracked since 2017).

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About Ethos Psychological Services Llc NPPES

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

ETHOS PSYCHOLOGICAL SERVICES LLC (NPI 1316466857) is a healthcare organization registered as a clinical in Park Ridge, Illinois and active in the NPI registry since September 2017. The organization lists John Eliot Leffel, Director, as its authorized official.

NPPES Registry Identity

NPI1316466857

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameETHOS PSYCHOLOGICAL SERVICES LLC

Location Address444 N NORTHWEST HWY STE 375Park Ridge, IL 60068-3271

Mailing Address7903 Lowell AveSkokie, IL 60076-3537 · (917) 403-4631

Phone(917) 403-4631

Organization SubpartNo

Authorized OfficialJohn Eliot LeffelDirector · (917) 403-4631

Enumeration DateSeptember 15, 2017

Last NPPES UpdateMay 3, 20222 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1316466857 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 · 071008161

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.

444 N NORTHWEST HWY STE 375, Park Ridge, IL 60068

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethos Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ethos Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Leffel, PSY.D., L.C.P.

Clinical Psychologist

NPI 1205146958

7903 LOWELL AVE
Skokie, IL 60076

(917) 403-4631

✔ PECOS✔ Accepts Medicare5.3 mi

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

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 Ethos Psychological Services LLC's NPI number?

The NPI number for Ethos Psychological Services LLC is 1316466857. It was assigned to this organization in the NPPES registry on September 15, 2017.

Where is Ethos Psychological Services LLC located?

Ethos Psychological Services LLC is located at 444 N Northwest Hwy Ste 375, Park Ridge, IL 60068. The listed phone number is (917) 403-4631.

What is Ethos Psychological Services LLC's specialty?

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

Is Ethos Psychological Services LLC enrolled in Medicare?

Yes. Ethos Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ethos Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Ethos Psychological Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ethos Psychological Services LLC was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.