| Tenacity Psychological Services, Llc | |
|
605 N Michigan Ave Fl 4 Chicago IL 60611-3141 | |
| (872) 808-0285 | |
| (872) 804-2525 |
| Full Name | Tenacity Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 605 N Michigan Ave Fl 4, Chicago, Illinois |
| Authorized Official Name and Position | Josiah James Miller (OWNER & CLINICAL TRAINING DIRECTOR) |
| Authorized Official Contact | 8728080285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenacity Psychological Services, Llc 4354 N Sacramento Ave Unit 1 Chicago IL 60618-1408 Ph: (708) 374-7171 | Tenacity Psychological Services, Llc 605 N Michigan Ave Fl 4 Chicago IL 60611-3141 Ph: (872) 808-0285 |
| NPI Number | 1619530185 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 02/27/2023 |
| Certification Date | 07/01/2021 |
| Medicare PECOS PAC ID | 2466795448 |
|---|---|
| Medicare Enrollment ID | O20190514002371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619530185 | NPI | - | NPPES |
| 523478244001 | Medicaid | IL |
| Provider Name | Josiah James Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023521200 PECOS PAC ID: 3375886351 Enrollment ID: I20190617000305 |
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