DR. TIFFANY ABREGO


Address: 900 Main St Ste 720, Peoria, IL 61602-5027
Phone: 3094951640

DR. TIFFANY ABREGO (NPI# 1114320413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114320413
Entity Type Individual
Full Name DR. TIFFANY ABREGO
Credential PHD
Practice Address 900 Main St Ste 720
Peoria
IL 61602-5027
Mailing Address 79 W Alexandrine St
Detroit
MI 48201-2015
Practice Telephone 3094951640
Mailing Telephone 3138315355
Enumeration Date 2014-09-30
Last Update Date 2018-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
071.009388 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 071.009388 05

Office Location

Street Address 900 MAIN ST STE 720
City PEORIA
State IL
Zip Code 61602-5027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366647521 Andrew Jerome Lancia Psychiatry & Neurology 900 Main St Ste 720, Peoria, IL 61602-5027 2007-06-18
1912535287 Jin-huon Jou Student in an Organized Health Care Education/Training Program 900 Main St Ste 720, Peoria, IL 61602-5027 2020-03-31
1376103259 Jerri Jean Genovese Social Worker 900 Main St Ste 720, Peoria, IL 61602-5027 2019-06-13
1396205845 Samicchya Adhikari Psychiatry & Neurology 900 Main St Ste 720, Peoria, IL 61602-5027 2019-03-21
1689029027 Erik Masayuki Shipley Psychiatry & Neurology 900 Main St Ste 720, Peoria, IL 61602-5027 2016-05-03
1750761359 Juan Romero Gaddi Psychiatry & Neurology 900 Main St Ste 720, Peoria, IL 61602-5027 2015-06-09
1316328982 Kyla Nighohossian Psychiatry & Neurology 900 Main St Ste 720, Peoria, IL 61602-5027 2015-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574676 Critical Care Rx, LLC Pharmacy 126 Oak St, Peoria, IL 61602 2018-07-03
1235675836 Cheryl Beckman Registered Nurse 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 2017-01-06
1063957942 Rosemary Ince Registered Nurse 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 2016-12-30
1962674820 Lisa Jean Burckhartzmeyer Psychiatry & Neurology 228 Ne Jefferson St, Peoria, IL 61602 2008-03-31
1669503587 Jill Larson Counselor 330 Sw Washington Street, Peoria, IL 61602 2007-03-09
1265407399 Cardiac Consultants Sc Internal Medicine 900 Main Street, Suite 320, Peoria, IL 61602 2006-02-22
1013364470 Rafal Szymczuk Student in an Organized Health Care Education/Training Program 900 Main Street, Suite 720, Peoria, IL 61602 2016-05-16
1043693831 Kari Beth Watts Family Medicine 815 Main St, Peoria, IL 61602 2015-06-30
1881072791 Kristen Dent Family Medicine 815 Main St, Peoria, IL 61602 2015-05-12
1023422797 Andrew Wang Psychiatry & Neurology 900 Main St Ste 580, Peoria, IL 61602 2014-06-20
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417137274 Cathy Lynn Bissett Psychologist 24654 N Lake Pleasant Pkwy Ste 103-497, Peoria, AZ 85383-1359 2007-11-09
1922075548 Shauna L Gatten Psychologist 910 W Glen Avenue, Suite 2, Peoria, IL 61614-8807 2006-03-02
1174928410 Meena Choi Psychologist 10184 W Happy Valley Rd, Suite Number 190, Peoria, AZ 85383-1254 2014-10-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902441603 Jasmine Dominique Jones Psychologist 19041 Willow Ave, Country Club Hills, IL 60478-5740 2019-11-18
1912483074 Kristina Kochanova Psychologist 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 2018-07-12
1235647470 Laurie Gayes Thompson Psychologist 225 E Chicago Ave # 2, Chicago, IL 60611-2991 2018-01-22
1558874891 Claire Ashling Coyne Psychologist 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 2017-11-08
1659721967 Micah Ioffe Psychologist 1300 W Belmont Ave Ste 501, Chicago, IL 60657 2016-06-16
1609243856 Humboldt Behavioral Health Group Psychologist 3317 W Le Moyne St, Chicago, IL 60651-2452 2015-08-24
1003156928 Early Autism Project, Inc. Psychologist 599 Falling Waters Way, Lindenhurst, IL 60046-1703 2013-03-01
1659610491 Alexandra M Psihogios Psychologist 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 2013-02-13
1265781934 Anthony Thomas Vesco Psychologist 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 2012-09-10
1891044038 Irma Porcic Khelghati Psychologist 1200 Harger Rd Ste 600, Oak Brook, IL 60523-1820 2012-09-04
Find all providers with the same taxonomy

Competitor

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City PEORIA
Zip Code 61602

Improve Information

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Dataset Information

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.

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