Active NPI
Dana Hauk, PSYD
- Clinical Psychologist
- St Charles, IL
National Provider Identifier
1083426472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.011333
- Practice address
- 2580 Foxfield Rd Ste 101
St Charles, IL 60174-1403 - Phone
- (630) 797-9332
- NPI assigned
- Jan 22, 2025
- 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 | 071.011333 | IL | Primary |
Addresses
Primary practice location
2580 Foxfield Rd Ste 101
St Charles, IL 60174-1403
Mailing address
1916 Cambridge Dr
Saint Charles, IL 60174-4670
Phone (630) 220-0818
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 |
|---|---|---|---|
| 071.011333 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1083426472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 CAMBRIDGE DR",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601744670",
"telephone_number": "630-220-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 FOXFIELD RD STE 101",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741403",
"telephone_number": "630-797-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUK",
"first_name": "DANA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.011333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.