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MISS ELLEN KOUCKY
NPI 1487914081
Psychologist - Clinical in Chicago, IL

Active since May 17, 2012
820 S DAMEN AVE, CHICAGO, IL 60612(708) 990-5295 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Ellen Koucky NPPES

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

MISS ELLEN KOUCKY (NPI 1487914081) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.009048) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1487914081
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMISS ELLEN KOUCKY
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address820 S Damen AveChicago, IL 60612-3728
Phone(708) 990-5295
Sole ProprietorNo
Enumeration DateMay 17, 2012
Last NPPES UpdateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1487914081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.009048
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
820 S DAMEN AVE, Chicago, IL 60612
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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.

NISHA MEHTA
Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Cook County (312) 569-5906
MICHAEL FUNG PHD
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6975
ROBERTA J THOMPSON MSW
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7588
MS. JOLINE L. LABEDIS LCSW
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Cook County (312) 569-6972
DR. ARDITA TALI
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6435
JESSE BROWN VA MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-8387
DR. PETER F. FORE M.D.
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Cook County (312) 569-7201
MARISSA MAHONEY PHARMD
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6820

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 Ellen Koucky's NPI number?

The NPI number for Ellen Koucky is 1487914081. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Ellen Koucky located?

Ellen Koucky practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (708) 990-5295.

What is Ellen Koucky's specialty?

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

When was this NPI record last updated?

The NPPES record for Ellen Koucky was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.