Shiraz P. Tata, PhD
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2007
- Practice locations
- 2
- Practice address
- 6072 Brynwood Dr Ste 107, Rockford, IL 61114
- Practice phone
- Call (815) 519-2949
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Shiraz Tata Phd, LLC
Physician office · Rockford, Illinois
Find Shiraz Tata's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Shiraz P. Tata is a psychologist in Cherry Valley, Illinois
Shiraz Tata practices at Shiraz Tata Phd, LLC in Rockford, Illinois.
Shiraz Tata's NPI, 1336298504, was assigned on January 9, 2007. Shiraz Tata graduated from Southern Illinois University School of Medicine in 1993. Shiraz Tata holds Illinois license 071-004963.
- NPI
- 1336298504NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4385980812
- NPI enumeration date
- January 9, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (815) 519-2949
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 59
- Medical school graduation
- 1993
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Shiraz P. Tata practices in Rockford and Cherry Valley
Shiraz Tata's primary practice is Shiraz Tata Phd, LLC, at 6072 Brynwood Dr Ste 107, Rockford, IL 61114. The practice phone is (815) 519-2949. The NPI Registry lists Shiraz Tata's practice address as 1572 S Bell School Rd, Cherry Valley, IL 61016.
- Shiraz Tata Phd, LLCPrimary6072 Brynwood Dr Ste 107, Rockford, IL 61114Phone(815) 519-2949
- NPI Registry address1572 S Bell School Rd, Cherry Valley, IL 61016 · Winnebago County
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Shiraz P. Tata is affiliated with 1 site of care
Shiraz Tata's primary practice is Shiraz Tata Phd, LLC in Rockford, Illinois.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Shiraz P. Tata's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Shiraz Tata practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Shiraz Tata Phd, LLC | Available with a free account |
Source: Dmand AI Technology Install Data
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Shiraz P. Tata is one of 308 psychologists in Illinois
Psychologist is Shiraz Tata's primary specialty in the NPI Registry, under taxonomy code 103T00000X. Shiraz Tata is licensed in Illinois.
Specialties and state licenses
- Psychologist, IllinoisPrimary
Psychologists near Shiraz Tata
Counts of psychologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Shiraz P. Tata's patients have a median age of 60
Across all payers, Dmand AI patient panel data puts Shiraz Tata's median patient age at 60, with 0% women.
Shiraz Tata's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 60
Patient panel by sex, all payers
- Women0%
- Men100%
Source: Dmand AI Patient Panel Data
How Shiraz P. Tata takes part in Medicare
Shiraz Tata accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Shiraz P. Tata graduated from Southern Illinois University School of Medicine
Shiraz Tata graduated from Southern Illinois University School of Medicine in 1993.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Shiraz P. Tata's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Shiraz P. Tata
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Shiraz P. Tata's NPI number?
Shiraz P. Tata's NPI number is 1336298504. It was assigned on January 9, 2007, and it is active in the NPI Registry.
What does Shiraz P. Tata specialize in?
Shiraz P. Tata is a psychologist in Cherry Valley, Illinois. The primary specialty in the NPI Registry is Psychologist (taxonomy code 103T00000X).
Where does Shiraz P. Tata practice?
Shiraz Tata practices at 6072 Brynwood Dr Ste 107, Rockford, IL 61114. Shiraz Tata also practices at 1572 S Bell School Rd, Cherry Valley, IL 61016. Shiraz Tata's primary practice is Shiraz Tata Phd, LLC in Rockford, Illinois.
What is Shiraz P. Tata's office phone number?
The practice phone on file for Shiraz Tata is (815) 519-2949.
What is Shiraz P. Tata's medical license number?
Shiraz Tata holds Illinois license 071-004963.
Does Shiraz P. Tata accept Medicare?
Yes. CMS lists Shiraz Tata as accepting Medicare assignment.
Where did Shiraz P. Tata go to medical school?
Shiraz Tata graduated from Southern Illinois University School of Medicine in 1993.
How long has Shiraz P. Tata been practicing?
Shiraz Tata graduated from medical school in 1993, 33 years ago.
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