Tiffany Clomax

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010089 Issued in IL

Practice address

111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074

Phone

(312) 436-1657

NPI assigned

Sep 7, 2019

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1700435252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023074",
            "telephone_number": "312-436-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023074",
            "telephone_number": "312-436-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOMAX",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy A Clinton, DNP, AGACNP-BC, APRN
• Tracie E Clisby
• Bradley Clodfelter, O.D.
• Luke Christopher Clohisy, MSW
• Robin Rogers Cloman
• Kelly Clor, DPT
• Mona Clor, MD
• Christianne Clorina, MED
• Close Knit Therapy, LLC
• Emily Close, LCSW

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.