Organization Active NPI

Milena Tatic-Bajich Psy D

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1508610577
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MILENA TATIC-BAJICH PSY D
Practice address
2451 N Lincoln Ave Ste 209
Chicago, IL 60614-2422
Phone
(773) 561-5524
Fax
(773) 561-5524
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Milena Tatic-Bajich, PSY DNPI 1447228820
Title
Owner
Phone
(773) 561-5524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2451 N Lincoln Ave Ste 209
Chicago, IL 60614-2422

Mailing address

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1508610577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 N LINCOLN AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142422",
            "telephone_number": "773-561-5524",
            "fax_number": "773-561-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 N LINCOLN AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142422",
            "telephone_number": "773-561-5524",
            "fax_number": "773-561-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILENA TATIC-BAJICH PSY D",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "TATIC-BAJICH",
        "authorized_official_first_name": "MILENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-561-5524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Apr 15, 2024; 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.