DR. TIFFANY NYCOLE LARA (NPI# 1962801803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962801803 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY NYCOLE LARA |
| Credential | PSY.D. |
| Practice Address |
1400 E Irving Park Rd Streamwood IL 60107-3201 |
| Practice Telephone | 6308379000 |
| Practice Fax Number | 6308372639 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008128 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1400 E IRVING PARK RD |
| City | STREAMWOOD |
| State | IL |
| Zip Code | 60107-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427011170 | William Puga | Psychologist | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2006-04-11 |
| 1477175081 | Gregory Kabat | Counselor | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2020-05-18 |
| 1063033322 | Ronald Kevin Strong | Social Worker | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2020-04-28 |
| 1720608979 | Kaleigh Irwin | Counselor | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2020-04-17 |
| 1174152185 | Laura Gabriela Coyotl | Counselor | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2020-04-02 |
| 1639707730 | Deana Lynn Donzal | Counselor | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2020-04-01 |
| 1760010938 | Kevin Jun | Counselor | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2020-03-31 |
| 1326676677 | Krupa Desai | Counselor | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2020-03-31 |
| 1699310524 | Yvette T Olsen | Counselor | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2019-11-14 |
| 1518466572 | Viviana Perez | Counselor | 1400 E Irving Park Rd, Streamwood, IL 60107-3201 | 2018-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215469234 | 21st Century Home Healthcare Inc | In Home Supportive Care | 412 Kensington Drive, Streamwood, IL 60107 | 2017-03-29 |
| 1831408160 | Wal-mart Stores Inc | Technician/Technologist | 850 South Barrington Road, Streamwood, IL 60107 | 2010-10-05 |
| 1851611529 | Melissa Rachael Stenzel | Pharmacist | 1001 S Sutton Rd, Streamwood, IL 60107 | 2010-06-04 |
| 1720236870 | Caroline Lindsey Masciola | Physical Therapist | 70 Magnolia Dr, Streamwood, IL 60107 | 2008-09-03 |
| 1952596165 | Zachary House | Intermediate Care Facility, Mentally Retarded | 1102 East Avenue, Streamwood, IL 60107 | 2007-09-11 |
| 1669694568 | Christopher L Schneider | Dentist | 103 South Sutton Road, Streamwood, IL 60107 | 2007-05-02 |
| 1376675215 | Carrie Ann Estrada | Social Worker | 1535 Burgundy Pkwy, Streamwood, IL 60107 | 2007-03-09 |
| 1629115928 | Luis E Luna | Family Medicine | 1160 E. Schaumburg Rd, Streamwood, IL 60107 | 2007-01-30 |
| 1922054691 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 217 E Irving Park Rd, Streamwood, IL 60107 | 2006-05-25 |
| 1821537960 | Beth Anne Chiari | Nurse Practitioner | 371 S. Main Place, Carol Stream, IL 60107 | 2017-02-22 |
| Find all providers in zip 60107 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235391814 | Charie Motley | Psychologist | 1300 E Irving Park Rd, Streamwood, IL 60107-3204 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | STREAMWOOD |
| Zip Code | 60107 |
Please comment or provide details below to improve the information on DR. TIFFANY NYCOLE LARA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.