Stephanie Jean Bakosh, MSN, ANP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

240748 Issued in AZ

Practice address

201 E Ogden Ave
Suite 130
Hinsdale, IL 60521-3633

Phone

(630) 995-9905

Fax

(630) 995-9905

NPI assigned

Jul 13, 2013

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Behavioral Medicine, LTD.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1407987837
  NPD (past)

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

{
    "created_epoch": "1373673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1093156408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122331",
            "telephone_number": "602-265-8338",
            "fax_number": "602-265-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE",
            "address_2": "SUITE 130",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213633",
            "telephone_number": "630-995-9905",
            "fax_number": "630-995-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOSH",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "credential": "MSN, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-13",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.010432",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "240748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Balance Counseling, LLC
• Yasmeen Sami Bader, DNP, CNM
• Munira Abdulqadir Badri, MOT, OTR/L
• Keith A Baird, PH.D.
• Rizwan S Bajwa, DO
• Richard John Balcerak, DDS
• Carolyn M Ball
• Christopher Michael Ballak, M.S.W., LCSW
• Robye D Ballard, PMHNP-BC
• Carol Ballou, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.