DR. TIFFANY M POTTS-DANIEL PHD
NPI 1013639392
Psychologist - Clinical in Addison, IL

Q: What is Tiffany Potts-daniel's NPI number?

The NPI number for Tiffany Potts-daniel is 1013639392. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Q: What is Tiffany Potts-daniel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 14, 2022PECOS EnrolledAccepts Medicare Assignment

303 W LAKE ST STE 200, ADDISON, IL 60101(331) 221-1650(331) 221-3973 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Dec 11, 2023, Sep 14, 2022 (3 updates tracked since 2022).

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About Dr. Tiffany M Potts-daniel Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIFFANY M POTTS-DANIEL PHD (NPI 1013639392) is an individual clinical provider in Addison, Illinois, licensed in Illinois (071010831) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013639392

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TIFFANY M POTTS-DANIELCredential: PHD

Location Address303 W LAKE ST STE 200Addison, IL 60101-2500

Mailing Address303 W Lake St Ste 200Addison, IL 60101-2500 · (331) 221-1650 · Fax (331) 221-3973

Phone(331) 221-1650

Fax(331) 221-3973

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 14, 2022

Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration

NPPES CertifiedAugust 6, 2024

✔ NPI 1013639392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071010831

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.

303 W LAKE ST STE 200, Addison, IL 60101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tiffany M Potts-daniel Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789054164

PECOS Enrollment IDI20221229000423

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICARDO MARTINEZ MD

Family Medicine