Individual provider Active NPI

Eleni S. Liossis, PSY.D.

  • Clinical Psychologist
  • Westmont, IL
National Provider Identifier
1376011791
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008897 Issued in IL
Practice address
825 N Cass Ave Ste 109
Westmont, IL 60559-6401
Phone
(630) 447-9737
NPI assigned
Nov 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008897 IL Primary

Addresses

Primary practice location

825 N Cass Ave Ste 109
Westmont, IL 60559-6401

Mailing address

825 N Cass Ave Ste 109
Westmont, IL 60559-6401
Phone (630) 447-9737

Other names 1

  • Dr. Eleni S. Liossis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.008897ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1376011791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE STE 109",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596401",
            "telephone_number": "630-447-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE STE 109",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596401",
            "telephone_number": "630-447-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIOSSIS",
        "first_name": "ELENI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-03",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENI",
            "last_name": "LIOSSIS",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "PSY.D., ATR, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.