Dr. Tracy Bisterfeldt
Dr. Tracy M Schafer · Psychologist (Clinical)

Address: 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604
Phone: 4143792959

Dr. Tracy Bisterfeldt (NPI# 1700162583) 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) 1700162583
Entity Type Individual
Full Name Dr. Tracy Bisterfeldt
Other Name Dr. Tracy M Schafer
Credential PSY.D.
Gender Female
Practice Address 53 W. Jackson Blvd.
Unit 635
IL 60604
Practice Telephone 4143792959
Mailing Address 934 N. Grove Ave.
Oak Park
IL 60302
Mailing Telephone 4143792959
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2011-10-25
Last Update Date 2019-10-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers 071.008187 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 53 W. JACKSON BLVD.
UNIT 635
State IL
Zip Code 60604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750853719 Michael Cramer Nurse Practitioner 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 2018-12-31
1174079883 Cardinal Technical Sc Specialist 208 Lasalle Street, Suite 214, Chicago, IL 60604 2016-09-01
1427412436 Your Choice Homecare, Inc. Home Health 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 2016-04-06
1548634843 Catherine Ranieri Counselor 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 2015-11-24
1356710701 Otis Peeples Counselor 134 N Lasalle Suite 400, Chicago, IL 60604 2015-09-16
1124495916 Te You Moore Counselor 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 2015-08-27
1992187686 Kathryn Weaver Psychiatry & Neurology 343 South Dearborn Street Apt # 304, Chicago, IL 60604 2015-06-18
1619201084 Jennifer Gurski Social Worker 53 W. Jackson Blvd, Chicago, IL 60604 2009-10-01
1578736252 Richard A Reschke Naprapath 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 2008-04-02
1609085414 Patrick Jean Hen Pierre Dentist 200 S. Michigan Ave, Suite 1400, Chicago, IL 60604 2007-05-21
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Zip Code 60604

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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.