Individual provider Active NPI

Tomike Y Lana, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1629412507
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008479 Issued in IL
Practice address
6160 N Cicero Ave Ste 122
Chicago, IL 60646-4308
Phone
(773) 783-7229
Fax
(872) 225-0037
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 071008479 IL Primary

Addresses

Primary practice location

6160 N Cicero Ave Ste 122
Chicago, IL 60646-4308

Mailing address

6160 N Cicero Ave Ste 122
Chicago, IL 60646-4308
Phone (773) 782-7229

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
I20240820000727 IL Practitioner - Clinical Psychologist 0648410084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008479ILMDClinical Psychologist

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1629412507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE STE 122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464308",
            "telephone_number": "773-782-7229",
            "fax_number": "872-225-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE STE 122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464308",
            "telephone_number": "773-783-7229",
            "fax_number": "872-225-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANA",
        "first_name": "TOMIKE",
        "middle_name": "Y",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.