Individual provider Active NPI

Stephanie L Tappan, PSYD

  • Clinical Psychologist
  • Elgin, IL
National Provider Identifier
1760067623
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010491 Issued in IL
Practice address
1595 Weld Rd Ste 5
Elgin, IL 60123-5896
Phone
(630) 606-0152
Fax
(773) 966-1445
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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 071.010491 IL Primary

Addresses

Primary practice location

1595 Weld Rd Ste 5
Elgin, IL 60123-5896

Mailing address

6N165 Clyde CT
St Charles, IL 60174-6712
Phone (630) 606-0152

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
I20210323002103 IL Practitioner - Clinical Psychologist 3274940093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Karen Falk and Associates IncGroup PAC ID 8729219886, 2 clinicians

Practice addresses (Care Compare)

511 Eichler Dr
Suite 201
West Dundee, IL 60118-2767
Phone (847) 269-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.010491ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Karen Falk & Associates, Inc. Clinical CurrentSince Mar 19, 2021 Accepting new patients

Locations

1595 Weld Rd
Ste 5
Elgin, IL 60123
Phone (847) 269-2350

511 Eichler Dr
Ste 201
West Dundee, IL 60118
Phone (847) 269-2350

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": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1760067623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6N165 CLYDE CT",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601746712",
            "telephone_number": "630-606-0152",
            "fax_number": "773-966-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 WELD RD STE 5",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235896",
            "telephone_number": "630-606-0152",
            "fax_number": "773-966-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPPAN",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.