Hayley Amsbaugh, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071011225 Issued in IL

Practice address

2580 Foxfield Rd # 101-4
St Charles, IL 60174-1403

Phone

(630) 524-9230

NPI assigned

Dec 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, IL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Advantage Health/Saint Mary's Medical Group

  dba Trinity Health Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1376862151
  Medicare reassignment NPD
• Advantage Health Saint Mary's Medical Group

  dba Trinity Health Medical Group Orthopedics Grand Rapids

  • Orthopaedic Surgery Physician
  • Byron Center, MI
  • NPI 1003515008
  NPD
• Advantage Health Saint Mary's Medical Group

  dba Trinity Health Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1952340911
  NPD
• Denise a Fiducia, PHD & Associates, LLC

  • Clinical Neuropsychologist
  • Arlington Heights, IL
  • NPI 1023323045
  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1407515950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 FOXFIELD RD # 101-4",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741403",
            "telephone_number": "630-524-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 FOXFIELD RD # 101-4",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741403",
            "telephone_number": "630-524-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSBAUGH",
        "first_name": "HAYLEY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301019021",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071011225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Drug Stores LLC (Osco Drug #3331)
• Amg Physical Rehabilitation, LLC
• Khyati Amin, O.D.
• Natalie M. Amodeo, FNP-BC
• Ampersand Autism Services, LLC
• Judith K. Andersen, P.T., M.S.
• Susan Michelle Andersen, M.S., CF-SLP
• Ashley M Anderson, MS, RDN, LDN, CPT
• Barbara Ann Anderson, PT
• Christine M. Anderson, MS, ED, NCC, LCPC

• Clinical Neuropsychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.