Elom Akosua Amuzu, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

18237 Kedzie Ave
Homewood, IL 60430-1411

Phone

(352) 336-2888

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Dr. Elom Amuzu LLC

  • Clinical Psychologist
  • Homewood, IL
  • NPI 1508470774
  NPD (past) Authorized official
• Ernest J Bordini PHD & Assoc PA

  • Psychologist
  • Gainesville, FL
  • NPI 1508846254
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1780165605",
    "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"
        },
        {
            "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": "352-336-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUZU",
        "first_name": "ELOM",
        "middle_name": "AKOSUA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ea@elomamuzuphd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "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": []
}

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• All providers in Homewood, IL
• 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.