Organization Active NPI

Dr Laura a Beaumont

  • Clinical Psychologist
  • Palos Heights, IL
National Provider Identifier
1033197025
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
IL071005432 Issued in IL
Legal business name
DR LAURA A BEAUMONT
Practice address
11801 Southwest Highway
Ste 3 South
Palos Heights, IL 60463
Phone
(708) 923-7400
Fax
(708) 923-7409
NPI assigned
Jan 9, 2006
Last updated
Jan 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Laura Ann Beaumont, PSYDNPI 1003005430
Title
Lincensed Clinical Psychologist
Phone
(708) 923-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL071005432 IL Primary

Addresses

Primary practice location

11801 Southwest Highway
Ste 3 South
Palos Heights, IL 60463

Mailing address

PO Box 609
Tinley Park, IL 60477-0609
Phone (708) 923-7400

National Provider Directory

National Provider Directory

Locations

11801 Southwest Hwy
Ste 3S
Palos Heights, IL 60463
Phone (708) 923-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1033197025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770609",
            "telephone_number": "708-923-7400",
            "fax_number": "708-923-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SOUTHWEST HIGHWAY",
            "address_2": "STE 3 SOUTH",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-923-7400",
            "fax_number": "708-923-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAURA A BEAUMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "BEAUMONT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LINCENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-923-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "IL071005432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.