DR. COLIN ENNIS PSY.D.
NPI 1881996320
Psychologist - Clinical in Chicago, IL

Q: What is Colin Ennis's NPI number?

The NPI number for Colin Ennis is 1881996320. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Q: What is Colin Ennis's specialty?

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

Q: Is Colin Ennis enrolled in Medicare?

No. Colin Ennis has opted out of Medicare through June 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Colin Ennis was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 02, 2010Opted out of Medicare · through Jun 4, 2027

53 W JACKSON BLVD, 635, CHICAGO, IL 60604(312) 725-9745(312) 488-3642 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Colin Ennis Psy.d. NPPES

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

DR. COLIN ENNIS PSY.D. (NPI 1881996320) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071008031) and active in the NPI registry since December 2010. He has opted out of Medicare through June 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881996320

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. COLIN ENNISCredential: PSY.D.

Location Address53 W JACKSON BLVD, 635Chicago, IL 60604-3606

Mailing Address3450 N Lake Shore Dr, 515Chicago, IL 60657-2874 · (312) 725-9745

Phone(312) 725-9745

Fax(312) 488-3642

Sole ProprietorYes

Enumeration DateDecember 2, 2010

Last NPPES UpdateAugust 13, 2014

✔ NPI 1881996320 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 · 071008031

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.

53 W JACKSON BLVD, Chicago, IL 60604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Colin Ennis Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 4, 2019 through June 4, 2027.

Opt-Out Effective DateJune 4, 2019

Opt-Out In Effect ThroughJune 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60604 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 20

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

DR. CASEY ALYSON HARRIS PH.D.

Psychologist (Clinical)

53 W JACKSON BLVD, SUITE 602
CHICAGO, IL 60604

Cook County (312) 405-1254

JOHN C CARTER LCSW

Social Worker (Clinical)

53 W JACKSON BLVD, 1257
CHICAGO, IL 60604

Cook County (312) 360-1983

BEVERLY GROUP MHS, INC.

Social Worker (Clinical)

53 W JACKSON BLVD, SUITE 1705
CHICAGO, IL 60604

Cook County (773) 490-0576

INNER SUN PSYCHOTHERAPY, LLC

Social Worker (Clinical)

53 W JACKSON BLVD, SUITE 1625
CHICAGO, IL 60604

Cook County (773) 892-4340

DAISY OMS LLC

Radiologic Technologist (Sonography)

53 W JACKSON BLVD, SUITE 1337
CHICAGO, IL 60604

Cook County (312) 344-1401

DR. MEGAN HAMMER PSY.D.

Psychologist (Clinical)

53 W JACKSON BLVD, SUITE 1111
CHICAGO, IL 60604

Cook County (773) 344-2298

DR LAUREN WIKLUND PLLC

Psychologist (Clinical)

53 W JACKSON BLVD
CHICAGO, IL 60604

Cook County (312) 600-8519

THEODORE HARRIS, LCSW, LLC

Social Worker (Clinical)

53 W JACKSON BLVD, SUITE 404
CHICAGO, IL 60604

Cook County (312) 576-5760

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 Colin Ennis's NPI number?

The NPI number for Colin Ennis is 1881996320. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Where is Colin Ennis located?

Colin Ennis practices at 53 W Jackson Blvd 635, Chicago, IL 60604. The listed phone number is (312) 725-9745.

What is Colin Ennis's specialty?

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

Is Colin Ennis enrolled in Medicare?

No. Colin Ennis has opted out of Medicare through June 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Colin Ennis was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.