Individual provider Active NPI

William Elliott, LCP

  • Psychologist
  • Paris, IL
National Provider Identifier
1497427280
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
727 E Court St
Paris, IL 61944-2460
Phone
(217) 465-8411
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

727 E Court St
Paris, IL 61944-2460

Mailing address

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211122001301 IL Practitioner - Clinical Psychologist 2567851066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

745 E Court St
Paris, IL 61944-2460
Phone (217) 466-4170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Sep 14, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Sep 14, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Psychologist Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients

Locations

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

Interoperability endpoints

  • Direct secure messaging: william.elliott.1@11356.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1497427280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "WILLIAM",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, IL

Sources for this page

Verify at the official NPI Registry.