Individual provider Active NPI

Lori G Tall, PSYD

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1750308524
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
53521462501 Issued in UT
Practice address
8 S Michigan Ave
Set 500
Chicago, IL 60603-3357
Phone
(312) 609-5404
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 53521462501 UT Primary

Addresses

Primary practice location

8 S Michigan Ave
Set 500
Chicago, IL 60603-3357

Mailing address

8 S Michigan Ave
Set 500
Chicago, IL 60603-3357
Phone (312) 609-5404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53521462501UTMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Assist, LTD. Clinical Neuropsychologist Current Accepting new patients
Center for Comprehensive Neurobehavioral Care Clinical Neuropsychologist Current Accepting new patients
The Family Institute PastSince Jun 6, 2016 Accepting new patients

Organizations & group practices 3

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1750308524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE",
            "address_2": "SET 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033357",
            "telephone_number": "312-609-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE",
            "address_2": "SET 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033357",
            "telephone_number": "312-609-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALL",
        "first_name": "LORI",
        "middle_name": "G",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "UT",
            "license": "53521462501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.