Shiraz P. Tata, PH.D.
Psychologist · Rockford, IL
Shiraz P. Tata, PH.D. is a psychologist with a practice address in Rockford, Illinois, and NPI 1336298504, issued on Jan 9, 2007. Check the license (Illinois 071-004963, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Shiraz P. Tata
- Credential
- PH.D.
- Primary taxonomy
- Psychologist 103T00000X
- License number
- 071-004963 IL
Self-reported in NPPES; status is on the state search - Practice location
- 6072 Brynwood Dr Ste 107, Rockford, IL 61114
- Phone
- (815) 519-2949
- Enumerated
- Jan 9, 2007
- Record last updated
- Jun 18, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (815) 637-4483
- Medicare enrollment
- Enrolled (PECOS I20190103003268); accepts Medicare assignment
- Medical or professional school
- Southern Illinois University School Of Medicine, 1993
- Entity
- Type 1 · individual
Also registered at 6072 Brynwood Dr Ste 107
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stephanie Yates, LCPCProfessional Counselor1003319781
Verify Shiraz P. Tata in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 071-004963Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Psychologist providers in Illinois
There are 1,011 psychologist records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other psychologist records in Illinois
- Margo Abrams, PSY.D.Chicago, IL1528584992
- Dorothy AddaeChicago, IL1548931561
- Mark Aghakhan, PSY.D.Chicago, IL1295843381
- Sweety Agrawal, PSYDChicago, IL1548554462
- Kavita Ajmere, PH.D.Chicago, IL1144538356
- Arin Alberts, PSYDDixon, IL1699912063
- Courtney Albinson, PH.D.Winnetka, IL1578339610
- Dinko Aleksandrov, PSYDChicago, IL1902322159
- Erin Alexander-Holton, PSYDChicago, IL1427091867
- Tayeba Alhoch, PSY.D.Chicago, IL1457786006
Common questions
What is Shiraz P. Tata, PH.D.'s NPI number?
Shiraz P. Tata, PH.D.'s National Provider Identifier (NPI) is 1336298504, issued on Jan 9, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Shiraz P. Tata, PH.D. located?
The NPPES record lists a practice address at 6072 Brynwood Dr Ste 107, Rockford, IL, 61114. Phone: (815) 519-2949. Providers update this record themselves, so call before visiting.
How can I verify Shiraz P. Tata, PH.D.'s license?
NPPES lists Illinois license number 071-004963, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.