Individual provider Active NPI

Brittany Elise Trauthwein, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1790226124
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009518 Issued in IL
Practice address
1300 W Belmont Ave
Suite 10
Chicago, IL 60657-3200
Phone
(941) 448-5870
NPI assigned
Mar 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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 071.009518 IL Primary

Addresses

Primary practice location

1300 W Belmont Ave
Suite 10
Chicago, IL 60657-3200

Mailing address

2549 Waukegan Rd
Bannockburn, IL 60015-1569
Phone (941) 447-5870

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
I20200613000048 IL Practitioner - Clinical Psychologist 2769804145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridgepoint Psychology Center IncGroup PAC ID 6406278845, 6 clinicians

Practice addresses (Care Compare)

5547 N Ravenswood Ave
Suite 201
Chicago, IL 60640-1125
Phone (773) 349-2466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009518ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgepoint Psychology Center Inc. Clinical CurrentSince Feb 1, 2020 Accepting new patients
Lakeview Psychology Group Clinical Past Accepting new patients

Locations

5547 N Ravenswood Ave
Ste 201
Chicago, IL 60640
Phone (773) 219-0484

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": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1790226124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 WAUKEGAN RD",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151569",
            "telephone_number": "941-447-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "SUITE 10",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "941-448-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTHWEIN",
        "first_name": "BRITTANY",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.