Individual provider Active NPI

Tonya E Battle, PSYD LCPC

  • Clinical Child & Adolescent Psychologist
  • Joliet, IL
National Provider Identifier
1235515289
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071010703 Issued in IL
Practice address
210 N Hammes Ave Ste 103B
Joliet, IL 60435-6688
Phone
(815) 582-3939
NPI assigned
Jul 31, 2015
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180009185 IL
Clinical Child & Adolescent Psychologist 103TC2200X 071010703 IL Primary

Addresses

Primary practice location

210 N Hammes Ave Ste 103B
Joliet, IL 60435-6688

Mailing address

210 N Hammes Ave Ste 103B
Joliet, IL 60435-6688
Phone (815) 582-3939

Other identifiers 1

IdentifierTypeStateIssuer
1558023119OtherILGROUP PRACTICE

Other names 1

  • Dr. Tonya E Banks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • 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
I20240308002305 IL Practitioner - Clinical Psychologist 8527404821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180009185ILMDProfessional Counselor
071010703ILMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Tonya Battle Professional CurrentSince Nov 16, 2021 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000

210 N Hammes Ave
Ste 103B
Joliet, IL 60435
Phone (815) 582-3939

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.toynabattle@146897.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1235515289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 103B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356688",
            "telephone_number": "815-582-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 103B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356688",
            "telephone_number": "815-582-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "TONYA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSYD LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2024-02-21",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009185",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071010703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE",
            "identifier": "1558023119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "BANKS",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DR TONYA BATTLE LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.