Individual provider Active NPI

Laura J Higdon, PH.D.

  • Clinical Psychologist
  • Palatine, IL
National Provider Identifier
1396777611
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005935 Issued in IL
Practice address
909 E Palatine Rd
Davken Associates, P.C.
Palatine, IL 60074-5551
Phone
(847) 776-1400
Fax
(847) 776-1424
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 071-005935 IL Primary

Addresses

Primary practice location

909 E Palatine Rd
Davken Associates, P.C.
Palatine, IL 60074-5551

Mailing address

909 E Palatine Rd
Davken Associates, P.C.
Palatine, IL 60074-5551
Phone (847) 776-1400

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
I20031208000448 IL Practitioner - Clinical Psychologist 0345146882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Behavioral Health Cooperative LLCGroup PAC ID 1355732777, 10 clinicians

Practice addresses (Care Compare)

160 E Grand Ave
Suite 500
Chicago, IL 60611-3800
Phone (847) 686-0090

572 B Lincoln Ave
Winnetka, IL 60093-2308
Phone (847) 686-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-005935ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Davken Associates, P.C. Clinical CurrentSince Jul 17, 2013 Accepting new patients
The Behavioral Health Cooperative, LLC Clinical CurrentSince Oct 8, 2021 Accepting new patients
Lake Shore Adult & Geriatric Medicine, LTD Past Accepting new patients
Theodore Handrup MD LTD Past Accepting new patients
Rehabilitation Associates of the Midwest, S.C. Clinical Past Accepting new patients
Michael J. Gainer, PH.D., P.C. Clinical Past Accepting new patients

Locations

160 E Grand Ave
Ste 500
Chicago, IL 60611

2444 W Touhy Ave
Chicago, IL 60645
Phone (773) 224-7705

400 Skokie Blvd
Ste 245
Northbrook, IL 60062
Phone (847) 630-1611

300 Center Dr
Ste 103
Vernon Hills, IL 60061
Phone (224) 381-2824

572B Lincoln Ave
Winnetka, IL 60093
Phone (847) 501-4040

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDJACA

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1396777611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E PALATINE RD",
            "address_2": "DAVKEN ASSOCIATES, P.C.",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745551",
            "telephone_number": "847-776-1400",
            "fax_number": "847-776-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E PALATINE RD",
            "address_2": "DAVKEN ASSOCIATES, P.C.",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745551",
            "telephone_number": "847-776-1400",
            "fax_number": "847-776-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.