Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Basham

Individual provider Psychologist · NPI 1548996275

Tyler Basham is a Psychologist in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

333 N Michigan Ave
Chicago, IL 60601-3901
Phone: (312) 815-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1548996275
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address3146 N Southport Ave, Chicago, IL 60657-9851

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