Individual provider Active NPI

Milena Tatic-Bajich, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1447228820
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
2800 N Sheridan Rd
Suite 408
Chicago, IL 60657
Phone
(773) 871-4877
NPI assigned
Mar 10, 2006
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

2800 N Sheridan Rd
Suite 408
Chicago, IL 60657

Mailing address

2925 W Rascher
Chicago, IL 60625
Phone (773) 561-5524

Other identifiers 1

IdentifierTypeStateIssuer
0001608383OtherILBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060216000378 IL Practitioner - Clinical Psychologist 9537174214 Practice locations: Chicago, IL; Schaumburg, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2451 N Lincoln Ave
Suite 209
Chicago, IL 60614-2422
Phone (773) 561-5524

2960 N Lake Shore Dr
Chicago, IL 60657-5600
Phone (773) 549-1010

3121 N Sheridan Rd
Chicago, IL 60657-4945
Phone (773) 404-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071005211ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milena Tatic-Bajich Psy D Clinical Current Accepting new patients
Fabian Carbonell MD SC Past Accepting new patients
Kidney Disease Specialists, S.C. Past Accepting new patients

Locations

2451 N Lincoln Ave
Ste 209
Chicago, IL 60614
Phone (312) 890-2243

Organizations & group practices 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1447228820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 W RASCHER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-561-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "SUITE 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-871-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATIC-BAJICH",
        "first_name": "MILENA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0001608383",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.