Tyler Psychological Services, L.L.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071.009177 Issued in IL

Legal business name

TYLER PSYCHOLOGICAL SERVICES, L.L.C.

Practice address

1010 Lake St Ste 616
Oak Park, IL 60301

Phone

(708) 714-7616

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Kristen Tyler, PSYD

Title

Owner, Psychologist

Phone

(708) 714-7616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristen Tyler Psychotherapy, L.L.C. Former legal business name

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1275019507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 616",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 616",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "708-714-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER PSYCHOLOGICAL SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-714-7616",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.009177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "1881028603",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristen Tyler Psychotherapy, L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Natalie Precious Tucholski, RBT
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• Mary Tunde-Ali
• Rebecca Turk, MD
• Salimah Turner, LCSW
• Jasmin Delores Tyler
• Nnenna Udensi
• Catherine Anne Uglietta, PA-C
• Uhs of Hartgrove, Inc
• Gina Theresa Ulrich, MA CCC/SLP

• Psychologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.