Individual provider Active NPI

Tamika Marie Tucker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1700611159
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.030983 Issued in IL
Practice address
14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone
(708) 892-2900
Fax
(708) 892-2909
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.030983 IL Primary

Addresses

Primary practice location

14484 John Humphrey Dr
Orland Park, IL 60462-2638

Mailing address

14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 892-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241219000525 IL Practitioner - Nurse Practitioner 6608303300 Reassigns benefits to 2 organizations
I20251028000842 MI Practitioner - Nurse Practitioner 6608303300 Reassigns benefits to 2 organizations
I20251031002646 IN Practitioner - Nurse Practitioner 6608303300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone 8328694818235

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.030983ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Oct 21, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Nov 29, 2024 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 13, 2025 Accepting new patients
Psychplus Associates of Michigan, PLLC Psychiatric/Mental Health CurrentSince Oct 21, 2025 Accepting new patients

Locations

1431 McHenry Rd
Ste 105
Buffalo Grove, IL 60089
Phone (708) 286-1264

14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

290 Town Center Dr
Ste 141
Dearborn, MI 48126

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 5

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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1700611159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14484 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-892-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14484 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-892-2900",
            "fax_number": "708-892-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TAMIKA",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.030983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.