Eric Tiede, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

125073252 Issued in IL

Practice address

405 N Wabash Ave Unit 3804
Chicago, IL 60611-5608

Phone

(312) 569-9082

Fax

(630) 274-6180

NPI assigned

Jun 29, 2018

Sex

Male

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Balance Mental Health PLLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1407608979
  NPD (past) Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1609361799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 3804",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115608",
            "telephone_number": "312-569-9082",
            "fax_number": "630-274-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 3804",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115608",
            "telephone_number": "312-569-9082",
            "fax_number": "630-274-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEDE",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125073252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Ticknor, LCSW, LICSW
• Tidal Nutrition and Recovery, PLLC
• Tides Counseling Chicago, PLLC
• Tides Mental Health of Il, PLLC
• Nichell Tidwell, M.D.
• Nikki Tiedje, RN, MSN, CCNS
• Grace Geme Vieaux Tiedt
• Jakov Tiefenbach, MBCHB
• Paige Tieman, PHYSICIAN ASSISTANT
• Brooke Tiemann

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.