Patriot Self Defense

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PATRIOT SELF DEFENSE

Practice address

11516 183Rd PL Ste NE
Orland Park, IL 60467-9473

Phone

(708) 717-6103

NPI assigned

Mar 2, 2023

Organization subpart

No

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

Authorized official

Name

Tracy Robinson, PSYDNPI 1912081753

Title

Owner

Phone

(708) 717-6103

Specialties & licenses 1

Addresses

Other names 1

• Solution Focused Consulting Doing business as

Locations

Practitioners 1

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

• Tracy P Robinson, PSY.D

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1912081753
  NPD Authorized official

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1750080313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 183RD PL STE NE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679473",
            "telephone_number": "708-717-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 183RD PL STE NE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679473",
            "telephone_number": "708-717-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT SELF DEFENSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-717-6103",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solution Focused Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tarun Patel, M.D.
• Yakub Isap Patel, DPT
• Pathways Therapeutic Services Inc.
• Pathways Therapeutic Services Inc.
• Patrick J. O'Neal
• Paul T Atkenson, MDSC
• Kobe-Lynn Paul
• Paulette Toburen
• Gabriela Pavletic, OD
• Kirk Patrick Pavletic, OD

• Clinical Psychologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.