EDESSA MIRZAPOLOS, PSY.D. PLLC
NPI 1740964204
Psychologist - Clinical in Plainfield, IL

Q: What is Edessa Mirzapolos, Psy.D. PLLC's NPI number?

The NPI number for Edessa Mirzapolos, Psy.D. PLLC is 1740964204. It was assigned to this organization in the NPPES registry on June 14, 2023.

Q: What is Edessa Mirzapolos, Psy.D. PLLC's specialty?

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

Active since June 14, 2023

24012 W RENWICK RD STE 204, PLAINFIELD, IL 60544(773) 387-6350 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edessa Mirzapolos, Psy.d. Pllc NPPES

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

EDESSA MIRZAPOLOS, PSY.D. PLLC (NPI 1740964204) is a healthcare organization registered as a clinical in Plainfield, Illinois and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Plainfield and lists Edessa Mirzapolos, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1740964204

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameEDESSA MIRZAPOLOS, PSY.D. PLLC

Location Address24012 W RENWICK RD STE 204Plainfield, IL 60544-8733

Mailing Address13654 Golden Meadow DrPlainfield, IL 60544-9842

Phone(773) 387-6350

Organization SubpartNo

Authorized OfficialEdessa MirzapolosLicensed Clinical Psychologist · (773) 387-6350

Enumeration DateJune 14, 2023

NPPES CertifiedJune 13, 2023

✔ NPI 1740964204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

24012 W RENWICK RD STE 204, Plainfield, IL 60544

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Secondary Practice Location 1

Location 113654 Golden Meadow DrPlainfield, IL 60544-9842 · Phone (773) 387-6350

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

Other Providers at the Same Location NPPES 8

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

THE MINDFUL HEALTH CENTER INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))