Alyssa Ellis, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209029497 Issued in IL

Practice address

1701 E Woodfield Rd Ste 401
Schaumburg, IL 60173-5126

Phone

(224) 650-6275

NPI assigned

Jan 29, 2024

Last updated

Apr 2, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Services in Health Psychology, LTDGroup PAC ID 4981736550, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Professional Services in Health Psychology, LTD

  dba LivingRite, The Center for Behavioral Health, LTD

  • Clinical Psychologist
  • Sycamore, IL
  • NPI 1306078894
  Medicare reassignment Care Compare group NPD
• Open Mind Counseling Services Inc

  • Multi-Specialty Clinic/Center
  • Schaumburg, IL
  • NPI 1063131621

  Psychiatric/Mental Health

  NPD (past)
• Three Birds Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sycamore, IL
  • NPI 1144141870
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1780446278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BAILEY RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783057",
            "telephone_number": "815-762-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735126",
            "telephone_number": "224-650-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ALYSSA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209029497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elie, LCPC
• Elite Care LLC (Homewatch Caregivers of Schaumburg)
• Elixir Chiropractic Care Centre, PC (Elixir Wellness Centre)
• Marion Elkin, LCPC
• Rochelle Elliott, MA, LCPC
• Eric D Ellis, DPT
• Marzouk Abdelfattah Ellythy, P.T
• Geoff Elsner
• Toni Elugbadebo
• Emily Harrell & Associates, Inc. (Center for Mindful Living)

• Psychiatric/Mental Health Nurse Practitioner in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.