Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Richenel Samuel Ellecom, PSY.D; DR.P.H

Registered Dietitian in Willow Brook, IL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063406569

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Registry record

Entity type Individual (Type 1)

Name Dr. Richenel Samuel Ellecom

Credential PSY.D; DR.P.H

Sex Male

Practice address Willow Brook, IL, 60527

Phone (630) 654-1377

Fax (630) 654-2575

Enumeration date Sep 12, 2005

Last updated in NPPES Oct 27, 2008

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers · License 71-5240 (IL) Secondary

103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers · License 20040961A (IN) Secondary

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License 164-2611 (IL) Primary

PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Other identifiers

Identifier	Type	State	Issuer
200909210A	Medicaid	IN	-
200078600	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Richenel Ellecom?

Richenel Ellecom is registered in NPPES with the primary taxonomy of Registered Dietitian. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-27.