Aaron Brent Dickson-Baures, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3568-57 Issued in WI

Practice address

2317 International LN Ste 119
Madison, WI 53704-3154

Phone

(608) 467-8870

Fax

(608) 467-6735

NPI assigned

Jul 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Integrative Psychological Consultants, LLC

  • Clinical Psychologist
  • Madison, WI
  • NPI 1740794627
  NPD (past)

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1699329896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 GILES ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 INTERNATIONAL LN STE 119",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043154",
            "telephone_number": "608-467-8870",
            "fax_number": "608-467-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON-BAURES",
        "first_name": "AARON",
        "middle_name": "BRENT",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3568-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayna Dibo, LCSW
• Lauren Elizabeth Dicalvo, DO
• Faith Dickerson, MD
• Laura Elizabeth Dickman, BSW
• Karla Jean Dickmeyer, M.D.
• Daniel Dickson, PH.D.
• Nancy J Didion, PA-C
• Molly Marion Dieball
• Andrea Nicole Wolosz Diehl
• Chelsea Diehl, APNP

• Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.