Tracy Ann Bischoff, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071008928 Issued in IL

Practice address

4124 N Lincoln Ave Ste 1
Chicago, IL 60618

Phone

(906) 282-1880

NPI assigned

Sep 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Centered Therapy Chicago PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1912328212
  NPD (past)

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1861741001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 N LINCOLN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183287",
            "telephone_number": "906-282-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 N LINCOLN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60618",
            "telephone_number": "906-282-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 E Lake St",
            "address_2": "Suite 1300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015959",
            "country_code": "US",
            "telephone_number": "312-726-4011",
            "fax_number": "312-726-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISCHOFF",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Birton, RDH
• Marina Bisaro, ATC, MS
• Janet Anne Bischof-Rosario, OTRL
• Lucy A Bischof, CPNP
• Daniela Marlene Ama Bischoff
• Evangelos Biscotakis, MD
• Jay Bharatsingh Bisen, MD
• Andrew Bisenius, MD
• Joanna Turner Bisgrove, M.D.
• Maggie Isaac Bishay

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.