Ellie Lederman

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071010170 Issued in IL

Practice address

53 W Jackson Blvd Ste 1301
Chicago, IL 60604-3552

Phone

(312) 884-1164

NPI assigned

Dec 30, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1245879899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 W EVERGREEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043552",
            "telephone_number": "312-884-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "ELLIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071010170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Leder, MSW
• Amanda Lederer, MA, CCC-SLP
• Madeline Howrey Lederer, MD
• Swati Lederer, M.D.
• Andrew John Lederman Jr., LSW
• Rene Lederman, PT, OCS
• Seth Lederman, D.C.
• Max Ledersnaider, MD
• Beatriz Elisabet Ledesma, ATR LCPC
• Emily Schwab Ledesma, LCSW

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.