Dr. Roberto G Lopez-tamayo
Psychologist (Clinical)

Address: 1747 W Roosevelt Rd Fl 2, Chicago, IL 60608-1264
Phone: 3123550336

Dr. Roberto G Lopez-tamayo (NPI# 1578186219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578186219
Entity Type Individual
Full Name Dr. Roberto G Lopez-tamayo
Credential PH.D
Gender Male
Practice Address 1747 W Roosevelt Rd Fl 2
IL 60608-1264
Practice Telephone 3123550336
Mailing Address 3035 N Honore St
IL 60657-2007
Mailing Telephone 8477146314
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-05-27
Last Update Date 2020-05-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers 071.010284 IL
No 103TC2200X Psychologist · Clinical Child & Adolescent Behavioral Health & Social Service Providers 071.010284 IL

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

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Office Location

Street Address 1747 W ROOSEVELT RD FL 2
State IL
Zip Code 60608-1264

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
1598287039 Isaac Lee Hanson Surgery 1500 S. Fairfield Ave., Chicago, IL 60608 2017-07-15
1861914244 Alejandra Fabian Martinez Speech-Language Pathologist 2646 W. 22nd Place, Chicago, ID 60608 2017-07-07
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Zip Code 60608

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Dataset Information

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.