Individual provider Active NPI

Aila M Amil, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1700493848
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071010409 Issued in IL
Practice address
2502 N Clark St # 212
Chicago, IL 60614-1850
Phone
(773) 930-9553
Fax
(773) 688-2637
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3855-57 WI
Clinical Psychologist 103TC0700X 071010409 IL Primary

Addresses

Primary practice location

2502 N Clark St # 212
Chicago, IL 60614-1850

Mailing address

PO Box 7410264
Chicago, IL 60674-0264
Phone (815) 942-6323

Other names 1

  • Michael M Amil Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mamil216100@direct.edward.org
CONNECT URL dramil@lifespanpsy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3855-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health P.C. Clinical PastSince Aug 4, 2024 Accepting new patients
Symed, Inc. PastSince Feb 2, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mamil216100@direct.edward.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1700493848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410264",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740264",
            "telephone_number": "815-942-6323",
            "fax_number": "779-210-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N CLARK ST # 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141850",
            "telephone_number": "773-930-9553",
            "fax_number": "773-688-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIL",
        "first_name": "AILA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3855-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mamil216100@direct.edward.org",
            "affiliation": "N",
            "address_1": "640 S Washington St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dramil@lifespanpsy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "2502 N Clark St # 212",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606141850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "AMIL",
            "middle_name": "M",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.