Individual provider Active NPI

Thomas P. Brennan, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1720090731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
2500 W Farwell Ave
Chicago, IL 60645-4618
Phone
(773) 743-2466
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

2500 W Farwell Ave
Chicago, IL 60645-4618

Mailing address

2500 W Farwell Ave
Chicago, IL 60645-4618
Phone (773) 743-2466

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
I20040813001206 IL Practitioner - Clinical Psychologist 8022081413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dreas and Brennan, LTD.Group PAC ID 3577536960, 2 clinicians

Practice addresses (Care Compare)

2500 W Farwell Ave
Chicago, IL 60645-4618
Phone (773) 743-2466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-004035ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dreas & Brennan, LTD. Clinical CurrentSince Jun 8, 2004 Accepting new patients

Locations

2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000

2840 W Foster Ave
Chicago, IL 60625
Phone (773) 248-6000

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720090731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W FARWELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454618",
            "telephone_number": "773-743-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W FARWELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454618",
            "telephone_number": "773-743-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.