OrganizationActive
Edessa Mirzapolos, Psy.d. PLLC
NPI 1740964204 · Clinical Psychologist · Plainfield, IL
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
Established profile(63/100 index)
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
24012 W Renwick Rd Ste 204
Plainfield, IL 60544-8733
Phone: (773) 387-6350
Street-level locationGet directions
Mailing address
13654 Golden Meadow Dr
Plainfield, IL 60544-9842
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.