TANDEM PSYCHOLOGY LLC (NPI# 1811348485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811348485 |
| Entity Type | Organization |
| Organization Name | TANDEM PSYCHOLOGY LLC |
| Practice Address |
3354 N Paulina St 205 Chicago IL 60657-1068 |
| Practice Telephone | 7732739719 |
| Mailing Telephone | 7732739719 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | DR. TYLER FORTMAN (OWNER) |
| Authorized Official Telephone | 6142735372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008865 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3354 N PAULINA ST 205 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609897826 | Jodine A Speckman | Chiropractor | 3354 N Paulina St, Suite 203, Chicago, IL 60657-1068 | 2006-07-22 |
| 1518418037 | Marcelo Gonzalez | Counselor | 3354 N Paulina St, 206f, Chicago, IL 60657-1068 | 2016-10-19 |
| 1467804617 | Kari Harrison | Counselor | 3354 N Paulina St, Suite 206f, Chicago, IL 60657-1068 | 2016-07-11 |
| 1477900199 | The New Center, LLC | Psychologist | 3354 N Paulina St, Suite 204c, Chicago, IL 60657-1068 | 2016-05-23 |
| 1740691542 | Tyler Fortman | Psychologist | 3354 N Paulina St, Suite 205, Chicago, IL 60657-1068 | 2014-05-14 |
| 1821245036 | Leslie Banghart | Social Worker | 3354 N Paulina St, 206f, Chicago, IL 60657-1068 | 2008-08-19 |
| 1497913792 | Gregg S Horigan | Chiropractor | 3354 N Paulina St, Suite 206c, Chicago, IL 60657-1068 | 2008-05-23 |
| 1710145933 | Biotidal Technology, Inc | Clinic/Center | 3354 N Paulina St, Suite 206c, Chicago, IL 60657-1068 | 2008-05-23 |
| 1184804619 | Mary Lagana | Social Worker | 3354 N Paulina St, Suite 204c, Chicago, IL 60657-1068 | 2007-11-13 |
| 1659582831 | Trang Vu Donovan | Massage Therapist | 3354 N Paulina St, Studio 206c, Chicago, IL 60657-1068 | 2007-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| 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.