Individual provider Active NPI

Tatiana-Ruth Leibman

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1376410076
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074
Phone
(312) 436-1657
Fax
(312) 284-4505
NPI assigned
Oct 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074

Mailing address

4528 N Drake Ave
Chicago, IL 60625-5904
Phone (339) 927-0286

Other names 1

  • Tanya Leibman Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Hoover, PSYD, PC CurrentSince Nov 7, 2025 Accepting new patients

Locations

111 N Wabash Ave
Ste 1400
Chicago, IL 60602
Phone (312) 436-1657

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": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1376410076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 N DRAKE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255904",
            "telephone_number": "339-927-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023074",
            "telephone_number": "312-436-1657",
            "fax_number": "312-284-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBMAN",
        "first_name": "TATIANA-RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "LEIBMAN",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 20, 2025; 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.