Active NPI
Donna R. Baptiste, ED.D
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1437389418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006861
- Practice address
- 1747 W Roosevelt Rd
Mc747
Chicago, IL 60608-1264 - Phone
- (312) 413-4597
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- 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 | 071006861 | IL | Primary |
Addresses
Primary practice location
1747 W Roosevelt Rd
Mc747
Chicago, IL 60608-1264
Mailing address
101 N Euclid Ave
16
Oak Park, IL 60301-1427
Phone (708) 528-3084
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
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
101 N Euclid Ave
Apt 16
Oak Park, IL 60301-1431
Phone (708) 528-3084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071006861 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Institute | Clinical | Current | Accepting new patients |
| Tessa'S Place, PLLC | Clinical | Current | Accepting new patients |
Locations
618 Library Pl
Evanston, IL 60201
Phone (312) 609-5300
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Oak Park, IL
- NPI 1447067434
-
- Clinical Psychologist
- Evanston, IL
- NPI 1417988155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1437389418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N EUCLID AVE",
"address_2": "16",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011427",
"telephone_number": "708-528-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 W ROOSEVELT RD",
"address_2": "MC747",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081264",
"telephone_number": "312-413-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAPTISTE",
"first_name": "DONNA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.