Tevyn P Anderson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008785 Issued in IL

Practice address

5042 N Glenwood Ave
Apt. 2W
Chicago, IL 60640-2870

Phone

(847) 769-1873

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Tevyn Paige, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1730549981
  Authorized official Same address or phone

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1285022251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 N GLENWOOD AVE",
            "address_2": "APT. 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402870",
            "telephone_number": "847-769-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 N GLENWOOD AVE",
            "address_2": "APT. 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402870",
            "telephone_number": "847-769-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TEVYN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanni Anderson
• Stephanie Eve Anderson, DPT
• Steven Anderson, DO
• Symone Anderson
• Taylor Nicole Anderson, PA-C
• Tiffany Anderson
• Trisha Anderson, LCSW
• Tyrone Anderson
• Vadette Anderson
• Vivian Ruth Anderson, RDN, LDN

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.