MEDICARE: PROGRESSIVE PSYCHOLOGICAL HEALTHCARE, S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1902287923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVE PSYCHOLOGICAL HEALTHCARE, S.C.

Provider Business Mailing Address
First Line	:	750 W LAKE COOK RD STE 190
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-2084
Country	:	US
Telephone Number	:	847-979-0268
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 W LAKE COOK RD STE 190
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-2084
Country	:	US
Telephone Number	:	847-979-0268
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. VICTORIYA TSARAN
Credential	:	PSY.D, LPC
Telephone Number	:	847-791-1580

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	03/03/2026

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