Shiraz Tata, PH.D.
NPI 1336298504 · Psychologist · Rockford, IL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shiraz Tata, PH.D. is a Psychologist provider in Rockford, IL (NPI 1336298504).
Provider details
- NPI number
- 1336298504
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 071-004963 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2018-06-18
Frequently asked questions
- What is Shiraz Tata's NPI number?
- Shiraz Tata's National Provider Identifier (NPI) is 1336298504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shiraz Tata's specialty?
- Shiraz Tata is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Shiraz Tata located?
- Shiraz Tata's practice location on file with NPPES is 6072 Brynwood Dr Ste 107, Rockford, IL 61114.
- What is Shiraz Tata's phone number?
- The practice phone number listed in the NPPES registry for Shiraz Tata is (815) 519-2949.
- Does Shiraz Tata accept Medicare?
- Shiraz Tata is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shiraz Tata's NPI active?
- Yes — Shiraz Tata's NPI (1336298504) is active in the NPPES registry as of the last update on 2018-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.