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: July 19, 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
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

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.

Psychiatry & Neurology (Psychiatry)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Psychologist
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Social Worker (Clinical)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Psychiatry & Neurology (Psychiatry)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Social Worker (Clinical)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Student in an Organized Health Care Education/Training Program
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Nurse Practitioner (Psychiatric/Mental Health)
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657
Clinic/Center (Mental Health (Including Community Mental Health Center))
913 W WELLINGTON AVE FL 2
CHICAGO, IL 60657

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871240705, enumerated as an "individual" on March 10, 2022.

The provider is located at 913 W WELLINGTON AVE FL 2 CHICAGO, IL 60657 and the phone number is (872) 843-0219.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.