Individual provider Active NPI

Tamara Miriam Claman, PSY.D.

  • Clinical Psychologist
  • Evanston, IL
National Provider Identifier
1063920957
Registry record updated Jan 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.005193 Issued in IL
Practice address
1718 Sherman Ave Ste 210
Evanston, IL 60201-5610
Phone
(847) 577-1501
Fax
(847) 577-3848
NPI assigned
Jan 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.005193 IL Primary

Addresses

Primary practice location

1718 Sherman Ave Ste 210
Evanston, IL 60201-5610

Mailing address

3660 Davis St
Skokie, IL 60076-1743
Phone (847) 528-0837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190205001594 IL Practitioner - Clinical Psychologist 1355689084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cook Psychologists and Counseling AssociatesGroup PAC ID 4183638943, 8 clinicians

Practice addresses (Care Compare)

1718 Sherman Ave
Suite 210
Evanston, IL 60201-5610
Phone (847) 577-1501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.005193ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake-Cook Psychologists and Counseling Associates CurrentSince Dec 20, 2018 Accepting new patients

Locations

3345 N Arlington Heights Rd
Ste E
Arlington Heights, IL 60004

1525 E 53rd St
Ste 424
Chicago, IL 60615
Phone (773) 556-3509

1718 Sherman Ave
Ste 210
Evanston, IL 60201
Phone (847) 322-9155

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1063920957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 DAVIS ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761743",
            "telephone_number": "847-528-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 SHERMAN AVE STE 210",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015610",
            "telephone_number": "847-577-1501",
            "fax_number": "847-577-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAMAN",
        "first_name": "TAMARA",
        "middle_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.005193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.