Elyse N Wood, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166001075 Issued in IL

Practice address

640 N River Rd Ste 108
Naperville, IL 60563-8947

Phone

(630) 718-0717

Fax

(630) 718-0747

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Elyse N Dombrowski Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Valley Institute for Growth and Wellness IncGroup PAC ID 0244285617, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Fox Valley Institute for Growth and Wellness Inc

  • Counselor
  • Naperville, IL
  • NPI 1174637334
  Medicare reassignment Care Compare group NPD
• Revelations RX PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1265124846
  NPD
• Jim Brunetti

  • Community/Behavioral Health Agency
  • Palatine, IL
  • NPI 1427448521
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1467868729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 YUMA LN",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881916",
            "telephone_number": "630-890-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N RIVER RD STE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638947",
            "telephone_number": "630-718-0717",
            "fax_number": "630-718-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 S Quentin Rd",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600676778",
            "country_code": "US",
            "telephone_number": "847-359-7490",
            "fax_number": "847-359-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ELYSE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208000351",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "DOMBROWSKI",
            "middle_name": "N",
            "prefix": "MISS",
            "credential": "MA, AMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Constantine Wonais, MD
• Anjanetta Marie Wonderlick, D.D.S.
• Jeffrey Wong
• Kailin Wong
• Linda Wong, PHARM.D.
• Ethan Wood, LPC
• Lauren Kathleen Woodard, APN-DNP
• Melissa Woolever, LCPC
• Ashley Wooley, LMFT
• Shannon Woolley

• Marriage & Family Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.