Individual provider Active NPI

Lauren Hussar, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1336676568
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009186 Issued in IL
Practice address
155 N. Michigan Ave
Ste 566
Chicago, IL 60601-7799
Phone
(708) 628-7076
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009186 IL Primary

Addresses

Primary practice location

155 N. Michigan Ave
Ste 566
Chicago, IL 60601-7799

Mailing address

155 N. Michigan Ave
Ste 566
Chicago, IL 60601-7799
Phone (708) 628-7076

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

LicenseStateTypeSpecialty
071009186ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1336676568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N. MICHIGAN AVE",
            "address_2": "STE 566",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017799",
            "telephone_number": "708-628-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N. MICHIGAN AVE",
            "address_2": "STE 566",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017799",
            "telephone_number": "708-628-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAR",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.