1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Psychologist
  6. NPI Profile

DR. TYLER FORTMAN
NPI 1740691542
Psychologist - Clinical in Chicago, IL

Active since May 14, 2014Opted out of Medicare · through Dec 20, 2026
3354 N PAULINA ST, SUITE 205, CHICAGO, IL 60657(312) 380-9031 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tyler Fortman NPPES

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

DR. TYLER FORTMAN (NPI 1740691542) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071008865) and active in the NPI registry since May 2014. He has opted out of Medicare through December 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740691542
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TYLER FORTMAN
Location Address3354 N PAULINA ST, SUITE 205Chicago, IL 60657-1068
Mailing Address3354 N Paulina St, Suite 205Chicago, IL 60657-1068 · (312) 380-9031
Phone(312) 380-9031
Sole ProprietorYes
Enumeration DateMay 14, 2014
Last NPPES UpdateFebruary 14, 2017
✔ NPI 1740691542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in IL · 071008865✔ Licensed in VA · 0810004806
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.
3354 N PAULINA ST, Chicago, IL 60657
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Tyler Fortman has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 20, 2018 through December 20, 2026.

Opt-Out Effective DateDecember 20, 2018
Opt-Out In Effect ThroughDecember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 15

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

HEALING TOUCH, INC
Chiropractor
3354 N PAULINA ST, SUITE 430
CHICAGO, IL 60657
Cook County (773) 281-3341
ROBERT J BODARY MA, LCPC
Counselor (Mental Health)
3354 N PAULINA ST
CHICAGO, IL 60657
Cook County (773) 234-2137
MARY LAGANA
Social Worker (Clinical)
3354 N PAULINA ST, SUITE 204C
CHICAGO, IL 60657
Cook County (773) 790-5518
MARCOS FLORES
Student in an Organized Health Care Education/Training Program
3354 N PAULINA ST
CHICAGO, IL 60657
Cook County (331) 642-8019
KARI HARRISON
Counselor (Professional)
3354 N PAULINA ST, SUITE 206F
CHICAGO, IL 60657
Cook County (312) 380-9031
THE NEW CENTER, LLC
Psychologist (Clinical)
3354 N PAULINA ST, SUITE 204C
CHICAGO, IL 60657
Cook County (773) 405-3541
DR. GREGG S HORIGAN D.C.
Chiropractor
3354 N PAULINA ST, SUITE 206C
CHICAGO, IL 60657
Cook County (773) 991-5131
MR. MARCELO GONZALEZ LPC
Counselor (Professional)
3354 N PAULINA ST, 206F
CHICAGO, IL 60657
Cook County (773) 828-9871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Fortman's NPI number?

The NPI number for Tyler Fortman is 1740691542. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Tyler Fortman located?

Tyler Fortman practices at 3354 N Paulina St Suite 205, Chicago, IL 60657. The listed phone number is (312) 380-9031.

What is Tyler Fortman's specialty?

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

Is Tyler Fortman enrolled in Medicare?

No. Tyler Fortman has opted out of Medicare through December 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tyler Fortman was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.