Tyree D. Brinson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

07100854 Issued in IL

Practice address

3506 Ionia Ave
Olympia Fields, IL 60461-1315

Phone

(773) 727-9417

NPI assigned

Sep 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Behavioral Health Integration Group, LLC

  • Psychologist
  • Olympia Fields, IL
  • NPI 1730002155
  NPD (past) Authorized official
• Lifecore Rehab and Counseling Services SC

  • Mental Health Counselor
  • Orland Park, IL
  • NPI 1679819734
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1891945291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 IONIA AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611315",
            "telephone_number": "773-727-9417"
        },
        {
            "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": {
        "last_name": "BRINSON",
        "first_name": "TYREE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "07100854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "01623882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Sophia Borrelli, DO
• Julie R Brandies, M.D.
• Bryce Brekke
• Aaron D Briggs, LSW
• April Lynn Brill, D.O.
• James Jr Broadnax
• Ryan Brooks
• Sharron Michelle Brown Osunmakinde
• Patrick Oneal Brown Jr., DO
• Carol Bruell, MSW LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.