Active NPI
Laura Patton-Van Buskirk, PSYD
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1063554186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071005906
- Practice address
- 118 N Clinton St Ste 440
Chicago, IL 60661-2392 - Phone
- (312) 324-4332
- Fax
- (773) 907-9258
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071005906 | IL | Primary |
Addresses
Primary practice location
118 N Clinton St Ste 440
Chicago, IL 60661-2392
Mailing address
118 N Clinton St Ste 440
Chicago, IL 60661-2392
Phone (312) 324-4332
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071005906 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions Toward Optimal Health, PLLC | Clinical | Current | Accepting new patients |
Locations
118 N Clinton St
Ste 440
Chicago, IL 60661
Phone (312) 315-9995
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.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1316708621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1063554186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N CLINTON ST STE 440",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606612392",
"telephone_number": "312-324-4332",
"fax_number": "773-907-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N CLINTON ST STE 440",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606612392",
"telephone_number": "312-324-4332",
"fax_number": "773-907-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON-VAN BUSKIRK",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071005906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.