Active NPI
Tony A Fletcher, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1104854892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-005279
- Practice address
- 53 W Jackson Blvd Ste 1522
Chicago, IL 60604-3761 - Phone
- (312) 961-9974
- Fax
- (312) 285-2151
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-005279 | IL | Primary |
| Clinical Neuropsychologist | 103G00000X | 071-005279 | IL |
Addresses
Primary practice location
53 W Jackson Blvd Ste 1522
Chicago, IL 60604-3761
Mailing address
1205 Linden Ave
Oak Park, IL 60302-1244
Phone (312) 961-9974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-005279 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrow Assessment & Consultation, PLLC | Clinical Neuropsychologist | Current | Accepting new patients |
| Higgins & Carter LLC | Past | Accepting new patients | |
| Davken Associates, P.C. | Clinical | Past | Accepting new patients |
| Neuroclinic and Assessments, LLC | Clinical Neuropsychologist | Past | Accepting new patients |
| Marianna Tsaran MD SC | Past | Accepting new patients | |
| Rehabilitation Associates of the Midwest, S.C. | Clinical | Past | Accepting new patients |
| In Home Health, LLC | Past | Accepting new patients |
Locations
53 W Jackson Blvd
Ste 1522
Chicago, IL 60604
Phone (312) 961-9974
Organizations & group practices 7
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.
-
- Clinical Neuropsychologist
- Chicago, IL
- NPI 1386502342
-
- Clinical Psychologist
- Deerfield, IL
- NPI 1457393159
-
- Professional Counselor
- Chicago, IL
- NPI 1023328275
-
- Specialist
- Arlington Heights, IL
- NPI 1134283203
-
- Clinical Psychologist
- McHenry, IL
- NPI 1053673988
Clinical Neuropsychologist
-
- Physical Medicine & Rehabilitation Physician
- Palatine, IL
- NPI 1871546473
Clinical
-
- Community Based Hospice Care Agency
- Eau Claire, WI
- NPI 1710692488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1104854892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 LINDEN AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021244",
"telephone_number": "312-961-9974",
"fax_number": "312-285-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 W JACKSON BLVD STE 1522",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043761",
"telephone_number": "312-961-9974",
"fax_number": "312-285-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "TONY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-005279",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": "071-005279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.