William Elliott, LCP
Individual provider Active NPI Psychologist · Paris, IL
NPI 1497427280 · NPPES record last updated Sep 30, 2021
Key facts
- NPI
- 1497427280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 727 E Court St
Paris, IL 61944-2460 - Phone
- (217) 465-8411
- NPI assigned
- Sep 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Indiana University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital and Medical Foundation of Paris Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211122001301 | IL | Practitioner - Clinical Psychologist | 2567851066 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Psychologist | 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
- william.elliott.1@11356.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
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
Other providers in Paris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.