Dr. Elom Amuzu LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. ELOM AMUZU LLC

Practice address

18237 Kedzie Ave
Homewood, IL 60430-1411

Phone

(708) 299-0035

NPI assigned

Sep 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elom Amuzu, PHDNPI 1780165605

Title

Owner and Licensed Psychologist

Phone

(312) 292-9753

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elom Akosua Amuzu, PHD

  • Psychologist
  • Homewood, IL
  • NPI 1780165605
  NPD (past) Authorized official
• Kurt Lee Stevens

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1346819943
  NPD
• Lauren Michelle Johnson, LCPC, LPCC, LPC, NCC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1932714375
  NPD (past)
• Ryan Mather, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1275146599
  NPD (past)
• Shannon Marie Dalley, PSY.D.

  • Clinical Psychologist
  • Tigard, OR
  • NPI 1447840301
  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604793600000",
    "number": "1508470774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18237 KEDZIE AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301411",
            "telephone_number": "312-292-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18237 KEDZIE AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301411",
            "telephone_number": "708-299-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELOM AMUZU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A",
        "authorized_official_last_name": "AMUZU",
        "authorized_official_first_name": "ELOM",
        "authorized_official_title_or_position": "OWNER AND LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-292-9753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE NO",
            "identifier": "071010304",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ea@elomamuzuphd.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "155 N Michigan Ave Ste 566",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606017799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara Dollison
• Annette Dorkin, PHARMD.
• Terranisha Douglas
• Ayanna C Dowd
• Dr Kenneth T Washington PLLC
• Amber Drozd
• DRS. Kreuz and Duffner, DDS, LTD.
• Drugstore Max
• Duane E. Wolff, D.D.S., P.C.
• Gregory J Duffner, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.