Individual provider Active NPI

Tao Liu

  • Psychologist
  • Naperville, IL
National Provider Identifier
1154557510
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071010500 Issued in IL
Practice address
1555 Naperville Wheaton Rd Ste 209B
Naperville, IL 60563-1561
Phone
(630) 283-8111
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20043235A IN
Psychologist 103T00000X 20043235A IN
Psychologist 103T00000X 071010500 IL Primary
Clinical Psychologist 103TC0700X 071010500 IL

Addresses

Primary practice location

1555 Naperville Wheaton Rd Ste 209B
Naperville, IL 60563-1561

Mailing address

1555 Naperville Wheaton Rd Ste 209B
Naperville, IL 60563-1561
Phone (630) 877-6668

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
I20210823001268 IL Practitioner - Clinical Psychologist 7113322652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1555 Naperville Wheaton Rd
Suite 209F
Naperville, IL 60563-1534
Phone (630) 283-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071010500ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abundance Therapy PLLC Psychologist CurrentSince Jul 29, 2021 Accepting new patients

Locations

1555 Naperville Wheaton Rd
Ste 209F
Naperville, IL 60563
Phone (630) 283-8111

1555 Naperville Wheaton Rd
Ste 209B
Naperville, IL 60563
Phone (630) 283-8111

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.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1154557510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD STE 209B",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631561",
            "telephone_number": "630-877-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD STE 209B",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631561",
            "telephone_number": "630-283-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "TAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043235A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043235A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071010500",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.