Active NPI
Lauren Elizabeth Hauck, M.A.
- Psychologist
- Grand Rapids, MI
National Provider Identifier
1053915223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 300 68TH St SE
Grand Rapids, MI 49548-6927 - Phone
- (646) 455-5000
- NPI assigned
- Nov 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
300 68TH St SE
Grand Rapids, MI 49548-6927
Mailing address
600 W 22ND St Ste 250
Oak Brook, IL 60523-8864
Other practice location 1
600 W 22nd St Ste 250
Oak Brook, IL 60523-8864
Phone (630) 230-6505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapeutic Solutions | Current | Accepting new patients |
Locations
600 W 22nd St
Ste 250
Oak Brook, IL 60523
Phone (630) 230-6505
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Psychologist
- Oak Brook, IL
- NPI 1215223318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1053915223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W 22ND ST STE 250",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 68TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495486927",
"telephone_number": "646-455-5000"
}
],
"practiceLocations": [
{
"address_1": "600 W 22nd St Ste 250",
"address_purpose": "LOCATION",
"city": "Oak Brook",
"state": "IL",
"postal_code": "605238864",
"country_code": "US",
"telephone_number": "630-230-6505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUCK",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-28",
"last_updated": "2023-05-16",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.