Rising Phoenix Mental Health PLLC
NPI 1669180493 · Clinical Psychologist · Burr Ridge, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rising Phoenix Mental Health PLLC is a Clinical Psychologist organization in Burr Ridge, IL (NPI 1669180493).
Provider details
- NPI number
- 1669180493
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mubeena Siddiqui, Credentialing Contact(630) 589-2730
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ellie Mental Health
- Doing business as
- Ellie Mental Health
Registry dates
- Enumerated
- 2022-11-10
- Last updated
- 2025-11-14
- Certified
- 2025-11-14
Frequently asked questions
- What is Rising Phoenix Mental Health PLLC's NPI number?
- Rising Phoenix Mental Health PLLC's National Provider Identifier (NPI) is 1669180493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rising Phoenix Mental Health PLLC?
- Rising Phoenix Mental Health PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Rising Phoenix Mental Health PLLC located?
- Rising Phoenix Mental Health PLLC's practice location on file with NPPES is 745 Mcclintock Dr Ste 100, Burr Ridge, IL 60527-0863.
- What is Rising Phoenix Mental Health PLLC's phone number?
- The practice phone number listed in the NPPES registry for Rising Phoenix Mental Health PLLC is (630) 491-6846.
- Does Rising Phoenix Mental Health PLLC accept Medicare?
- Rising Phoenix Mental Health PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rising Phoenix Mental Health PLLC?
- The authorized official listed on Rising Phoenix Mental Health PLLC's NPPES record is Mubeena Siddiqui, Credentialing Contact. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rising Phoenix Mental Health PLLC's NPI active?
- Yes — Rising Phoenix Mental Health PLLC's NPI (1669180493) is active in the NPPES registry as of the last update on 2025-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.