Individual provider Active NPI

Sara Bahn, PSYD

  • Clinical Psychologist
  • Springfield, IL
National Provider Identifier
1407163108
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008460 Issued in IL
Practice address
1220 S 7TH St
Springfield, IL 62703-2421
Phone
(217) 679-5379
Fax
(217) 679-5349
NPI assigned
Sep 2, 2010
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3462 CO
Clinical Psychologist 103TC0700X 071008460 IL Primary

Addresses

Primary practice location

1220 S 7TH St
Springfield, IL 62703-2421

Mailing address

1220 S 7TH St
Springfield, IL 62703-2421
Phone (217) 679-5379

Other identifiers 1

IdentifierTypeStateIssuer
1407163108OtherNPI

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
I20130618000843 IL Practitioner - Clinical Psychologist 1153447479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bahn and Associates IncGroup PAC ID 2860630530, 6 clinicians

Practice addresses (Care Compare)

1220 S 7TH St
Springfield, IL 62703-2421
Phone (217) 679-5379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bahn and Associates Clinical Current Accepting new patients
Bahn and Associates Inc Clinical CurrentSince Jul 9, 2013 Accepting new patients

Locations

1220 S 7th St
Springfield, IL 62703
Phone (217) 679-5379

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.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1407163108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S 7TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032421",
            "telephone_number": "217-679-5379",
            "fax_number": "217-679-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S 7TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032421",
            "telephone_number": "217-679-5379",
            "fax_number": "217-679-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHN",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3462",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407163108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.