Shiraz P Tata is a Rockford, Illinois based psychologist with 32 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: | 32+ 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 Number | Specialization | State | Status | |
| 071-004963 | General Psychology | Illinois | Primary | |
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.