Active NPI
Ally Mental Health, PLLC
- Clinical Psychologist
- Glen Ellyn, IL
National Provider Identifier
1407617889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ALLY MENTAL HEALTH, PLLC
- Practice address
- 800 Roosevelt Road
Building B, Suite 419a
Glen Ellyn, IL 60137 - Phone
- (630) 908-0098
- NPI assigned
- Jan 22, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Sultan Seda Hasapis, PSYD
- Title
- Psychologist/Owner
- Phone
- (630) 908-0098
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240913000350 | IL | Part B Supplier - Clinic/Group Practice | 9830639129 |
Receives reassigned benefits from 1 practitioner Practice locations: Glen Ellyn, IL |
National Provider Directory
National Provider DirectoryLocations
800 Roosevelt Rd
Ste B419B
Glen Ellyn, IL 60137
Phone (630) 935-1638
800 Roosevelt Rd
Ste B419A
Glen Ellyn, IL 60137
Phone (630) 908-0098
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
800 Roosevelt Road
Building B, Suite 419a
Glen Ellyn, IL 60137
Mailing address
800 Roosevelt Road
Building B, Suite 419a
Glen Ellyn, IL 60137
Phone (630) 908-0098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2024.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1407617889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROOSEVELT ROAD",
"address_2": "BUILDING B, SUITE 419A",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-908-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROOSEVELT ROAD",
"address_2": "BUILDING B, SUITE 419A",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-908-0098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLY MENTAL HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-22",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "HASAPIS",
"authorized_official_first_name": "SULTAN",
"authorized_official_middle_name": "SEDA",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "630-908-0098",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.