NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

SHIRAZ TATA PHD LLC
6072 BRYNWOOD DR STE 107
ROCKFORD, IL61114
 Phone: 815-519-2949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHIRAZ TATA PHD LLC

NPI Number 1083109524
LBN Legal business name SHIRAZ TATA PHD LLC
Authorized official SHIRAZ TATA - (LICENSED CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2018
Last updated 08/01/2018 - About 8 years ago
Identifiers
IL License # 071.04963
Other 819809569 BCBSIL
Other 11740000 CAQH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for SHIRAZ TATA PHD LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for SHIRAZ TATA PHD LLC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Therapists
SHIRAZ P TATA, PhD
6072 BRYNWOOD DR STE 107
ROCKFORD, IL
LISA A BREISCH, PSY.D.
HARMONY CENTER FOR HOLISTIC PSYCHOTHERAPY
LOVES PARK, IL
GEORGE J DIDIER, PSYD
6066 STRATHMOOR DR
ROCKFORD, IL
ALESIA O HAWKINS JONES, PhD
1601 PARKVIEW AVE
ROCKFORD, IL
JAMES A FOGARTY, ED.D.
122 S. PRAIRIE ST. SUITE A
ROCKTON, IL
MICHAEL R GALLAGHER, LMLP, LCPC
416 N CENTER ST
DURAND, IL
LINDA JENIG
230 THOMAS DRIVE
10000 DALE, IL
VICTORIA R GREENLEE, MOT
719 N MARION STREET
60302, IL

  View all Therapists
v2.403