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NPI · 1336298504 · NPPES-sourced

Shiraz Tata PH.D.

ActivePsychologist
NPI Number
1336298504
Type 1 · Individual
Taxonomy Code
103T00000X
Contact
(815) 519-2949
License IL · 071-004963
Last Updated
Enumerated
Primary practice addressIL · 61114
6072 Brynwood Dr Ste 107Rockford, IL 61114
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About this NPIWhat this record shows.

NPI 1336298504 is registered to Shiraz Tata PH.D., a Psychologist practising at 6072 Brynwood Dr Ste 107 in Rockford, Illinois. Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Shiraz Tata PH.D. has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shiraz Tata PH.D. accepts. To confirm in-network status with your specific health plan, contact Shiraz Tata PH.D. directly at (815) 519-2949.

Frequently asked

Yes. NPI 1336298504 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (815) 519-2949.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shiraz Tata PH.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103T00000X
Last updated
Enumerated
StatusActive
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