DR. TIFFANY EDWARDS (NPI# 1023519493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023519493 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY EDWARDS |
| Credential | PHD |
| Practice Address |
900 N Kingsbury St Ste Rw-6 Chicago IL 60610 |
| Mailing Address |
2555 Patriot Blvd Ste 200 Glenview IL 60026-8022 |
| Practice Telephone | 3122228230 |
| Mailing Telephone | 8477292188 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2019-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071009309 | IL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
017362 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5215 N Ravenswood Ave Ste 208, Chicago, IL 606401670 | 5074074363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700243615 | Tiffany Nicole Edwards | Occupational Therapy Assistant | 155 Woodland Rd, Marietta, SC 29661-9734 | 2016-01-22 |
| 1568848430 | Tiffany Edwards I | Counselor | 42334 Deluxe Plaza Suite 2, Hammond, LA 70403 | 2015-08-03 |
| 1649696584 | Tiffany Edwards | General Acute Care Hospital | 3430 Larchmont Avenue Apt 541, Alexandria, VA 22302 | 2014-03-17 |
| 1912321233 | Tiffany Edwards | Registered Nurse | 201 Westfield Dr, Florence, SC 29501-7594 | 2014-02-06 |
| 1083955066 | Tiffany Cecile Edwards | Case Manager/Care Coordinator | 124 Harvest Rdg, Acworth, GA 30102-2192 | 2013-03-15 |
| 1912284688 | Tiffany Edwards | Rehabilitation Practitioner | 6637 Lookout Lodge Ln # 101, North Las Vegas, NV 89084-2298 | 2011-11-09 |
| 1841497054 | Tiffany Eulese Edwards | Internal Medicine | 3380 Paddocks Pkwy, Suwanee, GA 30024-9119 | 2007-06-29 |
| 1851934665 | Tiffany Marie Edwards | Behavioral Analyst | 4952 Warner Ave Ste 300, Huntington Beach, CA 92649-5506 | 2019-10-24 |
| 1174175798 | Tiffany Edwards | Specialist/Technologist | 4949 Silver Star Rd, Orlando, FL 32808-4594 | 2019-07-13 |
| 1982161709 | Tiffany Edwards | Community Health Worker | 252 W Brooklyn Ave, Slc, UT 84101-3024 | 2019-02-28 |
| Street Address |
900 N KINGSBURY ST STE RW-6 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356894802 | Susan Matz Rizzato | Social Worker | 900 N Kingsbury St Ste Rw-6, Chicago, IL 60610 | 2016-08-02 |
| 1225516248 | Stephanie Lynn Halberg | Nurse Practitioner | 900 N Kingsbury St Ste Rw-6, Chicago, IL 60610 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.