Edessa Mirzapolos, Psy.d. PLLC
NPI 1740964204 · Clinical Psychologist · Plainfield, IL
Edessa Mirzapolos, Psy.d. PLLC is a Clinical Psychologist organization in Plainfield, IL (NPI 1740964204).
Provider details
- NPI number
- 1740964204
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Edessa Mirzapolos, Licensed Clinical Psychologist(773) 387-6350
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
2 documented practice locations
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
Additional practice locations (1)
- 13654 Golden Meadow DrPlainfield, IL 60544-9842Phone: (773) 387-6350
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2023-06-14
- Certified
- 2023-06-13
Frequently asked questions
- What is Edessa Mirzapolos, Psy.d. PLLC's NPI number?
- Edessa Mirzapolos, Psy.d. PLLC's National Provider Identifier (NPI) is 1740964204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edessa Mirzapolos, Psy.d. PLLC?
- Edessa Mirzapolos, Psy.d. PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Edessa Mirzapolos, Psy.d. PLLC located?
- Edessa Mirzapolos, Psy.d. PLLC's practice location on file with NPPES is 24012 W Renwick Rd Ste 204, Plainfield, IL 60544-8733.
- What is Edessa Mirzapolos, Psy.d. PLLC's phone number?
- The practice phone number listed in the NPPES registry for Edessa Mirzapolos, Psy.d. PLLC is (773) 387-6350.
- Who is the authorized official for Edessa Mirzapolos, Psy.d. PLLC?
- The authorized official listed on Edessa Mirzapolos, Psy.d. PLLC's NPPES record is Edessa Mirzapolos, Licensed Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edessa Mirzapolos, Psy.d. PLLC's NPI active?
- Yes — Edessa Mirzapolos, Psy.d. PLLC's NPI (1740964204) is active in the NPPES registry as of the last update on 2023-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.