Individual provider Active NPI

Ashley Poprilo, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1952916488
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010853 Issued in IL
Practice address
17 N Dearborn St
Adler University - Adler Community Health Services
Chicago, IL 60602-4310
Phone
(312) 662-4338
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X
Clinical Psychologist 103TC0700X 071.010853 IL Primary

Addresses

Primary practice location

17 N Dearborn St
Adler University - Adler Community Health Services
Chicago, IL 60602-4310

Mailing address

17 N Dearborn St
Adler University - Adler Community Health Services
Chicago, IL 60602-4310
Phone (312) 662-4338

Other practice location 1

1525 E 53rd St Ste 1009
Chicago, IL 60615-4547
Phone (312) 566-1702

Other practice location 2

19 Grand St
Middletown, CT 06457-2705
Phone (203) 237-2229

Other practice location 3

155 N Michigan Ave Ste 325
Chicago, IL 60601-7591
Phone (872) 252-7836

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.010853ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
D Gordon & Associates LLC Multi-Specialty PastSince Mar 21, 2021 Accepting new patients
Counseling & Art Therapy Center of Chicago LLC Multi-Specialty PastSince Dec 22, 2019 Accepting new patients

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1952916488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N DEARBORN ST",
            "address_2": "ADLER UNIVERSITY - ADLER COMMUNITY HEALTH SERVICES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024310",
            "telephone_number": "312-662-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N DEARBORN ST",
            "address_2": "ADLER UNIVERSITY - ADLER COMMUNITY HEALTH SERVICES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024310",
            "telephone_number": "312-662-4338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 E 53rd St Ste 1009",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154547",
            "country_code": "US",
            "telephone_number": "312-566-1702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Grand St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064572705",
            "country_code": "US",
            "telephone_number": "203-237-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 N Michigan Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017591",
            "country_code": "US",
            "telephone_number": "872-252-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPRILO",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 2024; 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.