Organization Active NPI

Ally Mental Health, PLLC

  • Clinical Psychologist
  • Glen Ellyn, IL
National Provider Identifier
1407617889
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, PSYDNPI 1639510555
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.