Individual provider Active NPI

Nancy Joan Lawrenz, PSY.D

  • Psychologist
  • Hinsdale, IL
National Provider Identifier
1104043546
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071004691 Issued in IL
Practice address
15 Salt Creek LN
Suite 316
Hinsdale, IL 60521-2926
Phone
(630) 325-4855
Fax
(630) 288-0075
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X
Psychologist 103T00000X 071004691 IL Primary

Addresses

Primary practice location

15 Salt Creek LN
Suite 316
Hinsdale, IL 60521-2926

Mailing address

15 Salt Creek LN
Suite 316
Hinsdale, IL 60521-2926
Phone (630) 325-4855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000111 IL Practitioner - Clinical Psychologist 6406940303 Practice locations: Chicago, IL; Hinsdale, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Salt Creek LN
Suite 316
Hinsdale, IL 60521-2964
Phone (630) 325-4855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071004691ILMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1104043546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN",
            "address_2": "SUITE 316",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212926",
            "telephone_number": "630-325-4855",
            "fax_number": "630-288-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN",
            "address_2": "SUITE 316",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212926",
            "telephone_number": "630-325-4855",
            "fax_number": "630-288-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENZ",
        "first_name": "NANCY",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071004691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.