Individual provider Active NPI

Tamara L. Tencer, PSYD

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1811101249
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006855 Issued in IL
Practice address
1010 Lake St. #500
Oak Park, IL 60301
Phone
(773) 665-8052
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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 071006855 IL Primary

Addresses

Primary practice location

1010 Lake St. #500
Oak Park, IL 60301

Mailing address

1010 Lake St. #500
Oak Park, IL 60301
Phone (773) 665-8052

Other names 1

  • Tamara Tencer Garrity Former name

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
I20110329000501 IL Practitioner - Clinical Psychologist 3173706140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

900 Ogden Ave
Suite 138
Downers Grove, IL 60515-2829
Phone (773) 243-4054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
071006855ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Love Parenting Center CurrentSince Sep 19, 2010 Accepting new patients
Dr. Tamara L. Tencer & Associates, P.C. Clinical CurrentSince Apr 5, 2022 Accepting new patients

Locations

800 W Buena Ave
Chicago, IL 60613
Phone (773) 327-6000

900 Ogden Ave
Downers Grove, IL 60515
Phone (773) 234-0388

1010 Lake St
Ste 500
Oak Park, IL 60301
Phone (708) 524-8600

700 E Ogden Ave
Ste 304
Westmont, IL 60559
Phone (630) 828-2953

Organizations & group practices 2

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1811101249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST. #500",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "773-665-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST. #500",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "773-665-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENCER",
        "first_name": "TAMARA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "GARRITY",
            "middle_name": "TENCER",
            "credential": "GARRITY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.