Dr Tyree Brinson & Associates, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071-008540 Issued in IL

Legal business name

DR TYREE BRINSON & ASSOCIATES, LLC

Practice address

3506 Ionia Ave
Olympia Fields, IL 60461-1315

Phone

(773) 727-9417

NPI assigned

Aug 16, 2013

Last updated

Jul 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tyree Brinson, PSY.D.NPI 1891945291

Title

Clinical Psychologist

Phone

(773) 727-9417

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyree D. Brinson, PSY.D.

  • Clinical Psychologist
  • Olympia Fields, IL
  • NPI 1891945291
  Authorized official Same address or phone

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1861825531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 LINCOLN HWY STE 104",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 IONIA AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611315",
            "telephone_number": "773-727-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TYREE BRINSON & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "TYREE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-727-9417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071-008540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.