DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP) – Clinical Psychologist, NPI 1164913737

DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP) is a healthcare provider. based in Dyer, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D., HSPP. They hold a License No. 20042902A (IN). The NPI Number for DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP) is 1164913737

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP)
NPI
1164913737
Phone
(773) 870-9079
Address
1118 JACKSON PL
Enumeration Date
19 May 2018
Last Update Date
12 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084852273
Graduation Year
2012 (14 years ago)
PAC ID
2163837220
Group Practice PAC ID
3971764762
Professional Enrollment ID
I20220325001770
Address ID
IL605253956CO6150XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

Provider Addresses for DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP)

  • 1118 JACKSON PL

    DYER, IN 463111457

    Phone: (773) 870-9079

    Type: Mailing

  • 15643 TUNDRA PT

    NOBLESVILLE, IN 460602240

    Phone: (773) 870-9079

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210223001565IClinical PsychologistINTBD
I20220325001770IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971764762View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
C H I R O P R A C T I CIL
Family PracticeIL
C H I R O P R A C T I CIL
Nurse PractitionerMN
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

What is the registry number for DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP)?
The registry entry for DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP) shows NPI 1164913737.
Does the public listing show DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP) as active?
DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP)?
NPPES ties DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP)?
DR. ERIN ELIZABETH BURRELL (PSY.D., HSPP) shows a connection to Dyer, Indiana in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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