Ethos Psychological Services LLC
NPI 1316466857ActiveOrganization· Psychologist, Clinical· Park Ridge, IL
Psychologist, Clinical in Park Ridge, Illinois, registered in NPPES in September 2017. The authorized official on file is John Eliot Leffel, PSYD, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316466857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2017 |
| Last updated in NPPES | May 3, 2022 |
| Certified by provider | May 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071008161 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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