Organization
RISING PHOENIX MENTAL HEALTH PLLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MUBEENA SIDDIQUI (CREDENTIALING CONTACT)
(630) 589-2730
Entity
Organization
Contact information
Practice address
745 MCCLINTOCK DR STE 100, BURR RIDGE, IL 60527-0863
(630) 491-6846
Mailing address
745 MCCLINTOCK DR STE 100, BURR RIDGE, IL 60527-0863
(630) 491-6846
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/14/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up