Ellen M. Griffin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005626 Issued in IL

Practice address

155 N. Michigan Ave.
Suite 512
Chicago, IL 60601-7612

Phone

(312) 787-2726

NPI assigned

Jul 12, 2007

Last updated

Feb 24, 2020By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellen M Griffin PSYD PC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1962035709
  NPD Authorized official

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1427257260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N. MICHIGAN AVE.",
            "address_2": "SUITE 512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017612",
            "telephone_number": "312-787-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N. MICHIGAN AVE.",
            "address_2": "SUITE 512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017612",
            "telephone_number": "312-787-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ELLEN",
        "middle_name": "M.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Griffin, OTR
• Ciara Alice Griffin, MD
• Cynthia Griffin, DNP
• Diana Griffin
• Doris Griffin, APRN
• Eric Omar Griffin, M.D.
• Jasmine Ciera Griffin
• Jennifer Renee Griffin, LPC
• Jessica M Griffin
• Joanna Villacorta Griffin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.