Active NPI
Matthew David Lauer, PSY.D.
- Clinical Psychologist
- Plainfield, IL
National Provider Identifier
1366775256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008732
- Practice address
- 24012 W Renwick Rd Ste 204a
Plainfield, IL 60544-8733 - Phone
- (815) 676-4688
- Fax
- (815) 676-4498
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008732 | IL | Primary |
Addresses
Primary practice location
24012 W Renwick Rd Ste 204a
Plainfield, IL 60544-8733
Mailing address
112 Olesen Dr
Apt 100
Naperville, IL 60540-5862
Phone (302) 632-4072
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
| License | State | Type | Specialty |
|---|---|---|---|
| 071008732 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lauer Counseling & Consulting Inc. | Current | Accepting new patients |
Locations
24012 W Renwick Rd
Ste 204A
Plainfield, IL 60544
Phone (815) 676-4688
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plainfield, IL
- NPI 1629643812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412380800000",
"number": "1366775256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 OLESEN DR",
"address_2": "APT 100",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405862",
"telephone_number": "302-632-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24012 W RENWICK RD STE 204A",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448733",
"telephone_number": "815-676-4688",
"fax_number": "815-676-4498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUER",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2014-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.