Beverlee Ann Ludema, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008412 Issued in IL

Practice address

1120 E Main St
Suite 201
St Charles, IL 60174-2287

Phone

(630) 377-6613

Fax

(630) 377-6225

NPI assigned

Sep 19, 2012

Last updated

Feb 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IL, MI2 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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychology Associates of Grand Rapids PCGroup PAC ID 6608826557, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Psychology Associates of Grand Rapids PC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1205017738
  Medicare reassignment Care Compare group NPD
• Centennial Counseling Center, PC

  • Mental Health Counselor
  • St Charles, IL
  • NPI 1376544387
  Medicare reassignment NPD
• Psychology Associates of Grand Rapids PC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1073747648
  NPD

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1750631560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742287",
            "telephone_number": "630-377-6613",
            "fax_number": "630-377-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742287",
            "telephone_number": "630-377-6613",
            "fax_number": "630-377-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDEMA",
        "first_name": "BEVERLEE",
        "middle_name": "ANN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Lose, L.C.S.W., C.A.D.C.
• Lotus Behavioral Wellness
• Lotus Therapy Inc.
• Emily E Loveland, DC
• Erin Lowry, LSW
• Dayza Malibiran Luluquisin, DPT
• Alison Lund, MSN, APRN, FNP-BC
• Stacey Nichole Lusk, MT-BC, DT
• Nikki M Lutzow, P.T.
• Luxottica of America Inc (Target Optical #4321)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.

Verify at the official NPI Registry.