Active NPI
Brooke Laufer PLLC
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1215446695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007717
- Legal business name
- BROOKE LAUFER PLLC
- Practice address
- 826 Madison St
Evanston, IL 60202 - Phone
- (847) 440-7361
- NPI assigned
- Sep 28, 2017
- Last updated
- Jan 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brooke Radder Laufer, PSY.D.
- Title
- Clinical Psychologist/Owner
- Phone
- (917) 558-5178
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071007717 | IL | Primary |
Addresses
Primary practice location
826 Madison St
Evanston, IL 60202
Mailing address
826 Madison St
Evanston, IL 60202
Phone (847) 440-7361
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Evanston, IL
- NPI 1689826331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1215446695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 MADISON ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60202",
"telephone_number": "847-440-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 MADISON ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60202",
"telephone_number": "847-440-7361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKE LAUFER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-28",
"last_updated": "2024-01-19",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "LAUFER",
"authorized_official_first_name": "BROOKE",
"authorized_official_middle_name": "RADDER",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "917-558-5178",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.