DR. DEIRDRE L. TANNEN (PSY.D.) – Clinical Psychologist, NPI 1639235997

DR. DEIRDRE L. TANNEN (PSY.D.) is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. The NPI Number for DR. DEIRDRE L. TANNEN (PSY.D.) is 1639235997

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEIRDRE L. TANNEN (PSY.D.)
NPI
1639235997
Phone
(773) 989-1111
Address
5327 N SHERIDAN RD
Enumeration Date
29 December 2006
Last Update Date
13 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739891111
Graduation Year
1996 (30 years ago)
PAC ID
6103964358
Professional Enrollment ID
I20091110000198
Address ID
IL606402775CH5327XAXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. DEIRDRE L. TANNEN (PSY.D.)

  • 5327, North Sheridan Road, Lakewood-Balmoral, Edgewater, Chicago, Lake View Township, Cook County, Illinois, 60640, United States

    SUITE A

    CHICAGO, IL 606402774

    Phone: (773) 989-1111

    Fax: (773) 989-2782

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091110000198IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes55320$0
90837Psychotherapy, 1 hour29221$0
90832Psychotherapy, 30 minutes3311$0
View full utilization report →

Insurance plans in this area (ZIP 60640)

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Reviews

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Frequently asked questions

Is there an official ID for DR. DEIRDRE L. TANNEN (PSY.D.) in U.S. healthcare records?
The official identifier for DR. DEIRDRE L. TANNEN (PSY.D.) is NPI 1639235997.
Would DR. DEIRDRE L. TANNEN (PSY.D.) appear as active to a payer?
You can treat DR. DEIRDRE L. TANNEN (PSY.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. DEIRDRE L. TANNEN (PSY.D.)'s focus?
For DR. DEIRDRE L. TANNEN (PSY.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DEIRDRE L. TANNEN (PSY.D.)?
Directory geography for DR. DEIRDRE L. TANNEN (PSY.D.) centers on Chicago, Illinois.
When was this NPI issued?
Enumeration for DR. DEIRDRE L. TANNEN (PSY.D.) is noted as December 29, 2006 where the registry provides it.

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