What is Kyle Tam's NPI number?

Kyle Tam's National Provider Identifier (NPI) is 1114697422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kyle Tam's specialty?

Kyle Tam is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Kyle Tam located?

Kyle Tam's practice location on file with NPPES is 750 Broadway Ave E, Mattoon, IL 61938-4610.

What is Kyle Tam's phone number?

The practice phone number listed in the NPPES registry for Kyle Tam is (217) 238-5700.

Is Kyle Tam's NPI active?

Yes — Kyle Tam's NPI (1114697422) is active in the NPPES registry as of the last update on 2021-09-17.

IndividualActive

Kyle Tam, BS

NPI 1114697422 · Counselor · Mattoon, IL

Kyle Tam, BS is a Counselor provider in Mattoon, IL (NPI 1114697422).

Provider details

NPI number: 1114697422
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: BS
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

750 Broadway Ave E

Mattoon, IL 61938-4610

Phone: (217) 238-5700

Street-level locationGet directions

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Mailing address