TJG Psychotherapy PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TJG PSYCHOTHERAPY PC

Practice address

122 S Michigan Ave Ste 1450
Chicago, IL 60603-6176

Phone

(206) 351-2655

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Tamara J Gittelson, LCPCNPI 1942506381

Title

Owner Head Clinician

Phone

(206) 351-2655

Specialties & licenses 1

Addresses

Other names 1

• TAMARA GITTELSON Former legal business name

Locations

Practitioners 1

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

• Tamara Judith Gittelson, MA

  • Professional Counselor
  • Chicago, IL
  • NPI 1942506381
  NPD Authorized official

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1629688254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 N HAMPDEN CT APT 502",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142333",
            "telephone_number": "206-351-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036176",
            "telephone_number": "206-351-2655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 N Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606570195",
            "country_code": "US",
            "telephone_number": "206-351-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TJG PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "GITTELSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER  HEAD CLINICIAN",
        "authorized_official_telephone_number": "206-351-2655",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMARA GITTELSON",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maneesh Tiwari, MD
• Stephanie Carol Tiwari, APN
• Maria Guadalupe Tiznado
• Janice Katherine Tizon, F.N.P
• TJ Corporation I LLC
• Julie Ann Tjhio, RD, LDN, CDE
• Ria Y Tjiong, D.C.
• Vehniah Kristin Tjong, M.D.
• Melissa Yuwono Tjota, MD, PHD
• TK Physical Therapy and Sports Performance PLLC

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.