Shiraz P Tata

PH.D. | Psychologist | 31+ years Exp


  6072 Brynwood Dr Ste 107, Rockford
     Illinois, 61114
  815-519-2949    815-637-4483 Maps & Directions
Shiraz P Tata is a Rockford, Illinois based psychologist with 31 years of experience in General Psychology. She completed her graduation from Southern Illinois University School Of Medicine in 1993. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shiraz P Tata is 071-004963 for General Psychology in Illinois. Her current practice location is 6072 Brynwood Dr Ste 107, Rockford. Patients can reach her at 815-519-2949 or can fax her at 815-637-4483. Shiraz P Tata is PH.D. in General Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1336298504.
Shiraz P Tata is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Shiraz P Tata speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Shiraz P Tata
Specialization: General Psychology
Gender:Female
Credentials: PH.D.
Experience: 31+ years
Medical School Attended:Southern Illinois University School Of Medicine
Graduation Year:1993
Accepts Medicare Assignment:Yes
Practice Address:6072 Brynwood Dr Ste 107, Rockford,
Illinois, 61114
Phone:815-519-2949
Fax:815-637-4483
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4385980812
Enrollment ID: I20190103003268
NPI Number: 1336298504
NPI Enumeration Date: 09 Jan, 2007
NPI Last Update On: 18 Jun, 2018

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shiraz P Tata are as mentioned below.
License NumberSpecializationStateStatus
071-004963General Psychology IllinoisPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Shiraz P Tata
6072 Brynwood Dr Ste 107,
Rockford, Illinois
Zip: 61114-5829
Phone Number: 815-519-2949
Fax Number: 815-637-4483
Patients can reach Shiraz P Tata at 6072 Brynwood Dr Ste 107, Rockford, Illinois or can call to book an appointment on 815-519-2949.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.