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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Emily Ezzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate North Side Health Network
0.1 mi
General Acute Care Hospital
836 W WELLINGTON AVE
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 19 clinicians in this Medicare group
NPI 1912014564 (773) 975-1600

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 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
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Cook County (312) 882-8264
DOMINIC JAMES APNP
Nurse Practitioner (Psychiatric/Mental Health)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Cook County (872) 843-0200
ASHLEY FRANCESCA SHI MD
Psychiatry & Neurology (Psychiatry)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Cook County (872) 843-0200
EVELYN M TORRES LCSW
Social Worker (Clinical)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Cook County (872) 843-0200
NAYELI C CERVANTES
Student in an Organized Health Care Education/Training Program
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Cook County (872) 843-0014
DR. ROBERT GRUNSTEN MD
Psychiatry & Neurology (Psychiatry)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Cook County (872) 843-0200
ADVOCATE NORTHSIDE HEALTH SYSTEM
Clinic/Center (Mental Health (Including Community Mental Health Center))
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Cook County (873) 843-0200
MARGARET BROOKS LCSW
Social Worker (Clinical)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Cook County (872) 843-0241

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 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.

Where is Emily Ezzo located?

Emily Ezzo practices at 913 W Wellington Ave Fl 2, Chicago, IL 60657. The listed phone number is (872) 843-0219.

What is Emily Ezzo's specialty?

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

Is Emily Ezzo enrolled in Medicare?

Yes. Emily Ezzo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Ezzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Ezzo reassigns Medicare benefits to Advocate North Side Health Network (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 Emily Ezzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 7 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.