Individual provider Active NPI

Donna R. Baptiste, ED.D

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1437389418
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006861 Issued in IL
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

Updated by the provider on Jul 23, 2009

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000743 IL Practitioner - Clinical Psychologist 5092843607 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
071006861ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Institute Clinical CurrentSince Oct 1, 2012 Accepting new patients
Tessa'S Place, PLLC Clinical CurrentSince Dec 17, 2024 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.

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

Verify at the official NPI Registry.