DR. EMILY E EZZO PSYD
NPI 1871240705
Psychologist - Clinical in Chicago, IL

Q: What is Emily Ezzo's NPI number?

The NPI number for Emily Ezzo is 1871240705. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Q: What is Emily Ezzo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Ezzo was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since March 10, 2022PECOS Enrolled

913 W WELLINGTON AVE FL 2, CHICAGO, IL 60657(872) 843-0219 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Jun 11, 2024, Mar 10, 2022 (3 updates tracked since 2022).

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About Dr. Emily E Ezzo Psyd NPPES

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

DR. EMILY E EZZO PSYD (NPI 1871240705) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.011085) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Skokie, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871240705

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. EMILY E EZZOCredential: PSYD

Location Address913 W WELLINGTON AVE FL 2Chicago, IL 60657-6709

Mailing Address5225 Old Orchard Rd Ste 23aSkokie, IL 60077-4406 · (815) 524-1690

Phone(872) 843-0219

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 10, 2022

Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1871240705 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 · 071.011085

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.

913 W WELLINGTON AVE FL 2, Chicago, IL 60657

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Secondary Practice Location 1

Location 15420 Old Orchard Rd Ste 1ASkokie, IL 60077-1053 · Phone (847) 220-7333

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emily E Ezzo Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729560404

PECOS Enrollment IDI20260303001518

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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 8

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

WENDY BETH BAKER PSYD, MSCP

Psychologist