Individual provider Active NPI

Erin Telford, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1265749121
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007033 Issued in IL
Practice address
4312 N Lincoln Ave
Chicago, IL 60618-1712
Phone
(773) 453-6112
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017007033 IL
Clinical Psychologist 103TC0700X 071007033 IL Primary

Addresses

Primary practice location

4312 N Lincoln Ave
Chicago, IL 60618-1712

Mailing address

5112 N Oakley Ave
Chicago, IL 60625-1830
Phone (773) 453-6112

Other practice location 1

180 N Michigan Ave
Ste 700
Chicago, IL 60601-7401
Phone (312) 726-4011 ext. 5682

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
017007033ILMDClinical Psychologist
071007033ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakley Psychological Associates Clinical CurrentSince Jul 17, 2022 Accepting new patients

Locations

4312 N Lincoln Ave
Chicago, IL 60618
Phone (773) 273-9345

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1265749121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251830",
            "telephone_number": "773-453-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181712",
            "telephone_number": "773-453-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N Michigan Ave",
            "address_2": "Ste 700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017401",
            "country_code": "US",
            "telephone_number": "312-726-4011 x5682",
            "fax_number": "312-726-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELFORD",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "017007033",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007033",
            "primary": true
        }
    ],
    "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 Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.