Active NPI
Laura A. Bauhof, PH.D.
- Clinical Psychologist
- Wheaton, IL
National Provider Identifier
1376937508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.008985
- Practice address
- 1725 S Naperville Rd
Suite 207
Wheaton, IL 60189-5805 - Phone
- (630) 480-7005
- NPI assigned
- Mar 25, 2015
- Last updated
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.008985 | IL | Primary |
| Clinical Psychologist | 103TC0700X | 6866 | OH |
Addresses
Primary practice location
1725 S Naperville Rd
Suite 207
Wheaton, IL 60189-5805
Mailing address
1725 S Naperville Rd
Suite 207
Wheaton, IL 60189-5805
Phone (630) 480-7005
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1725 S Naperville Rd
Suite 207
Wheaton, IL 60189-5855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008985 | IL | MD | Clinical Psychologist |
| 6866 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Timothy Madvig | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Wheaton, IL
- NPI 1467464792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1376937508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 S NAPERVILLE RD",
"address_2": "SUITE 207",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895805",
"telephone_number": "630-480-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 S NAPERVILLE RD",
"address_2": "SUITE 207",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895805",
"telephone_number": "630-480-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUHOF",
"first_name": "LAURA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.008985",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6866",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.