Individual provider Active NPI

Christie Belle Lauch, PSY.D.

  • Clinical Neuropsychologist
  • Oak Brook, IL
National Provider Identifier
1790522480
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071011380 Issued in IL
Practice address
2021 Midwest Rd Ste 104
Oak Brook, IL 60523-1396
Phone
(630) 280-8173
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012091 PA
Clinical Neuropsychologist 103G00000X 071011380 IL Primary
Counseling Psychologist 103TC1900X PS020065 PA

Addresses

Primary practice location

2021 Midwest Rd Ste 104
Oak Brook, IL 60523-1396

Mailing address

219 E Streamwood Blvd
Streamwood, IL 60107-1439
Phone (724) 961-0244

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
I20250724002486 IL Practitioner - Clinical Psychologist 2961919097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anthony Tucci PHD LLCGroup PAC ID 8628408671, 5 clinicians

Practice addresses (Care Compare)

2021 Midwest Rd
Suite 104
Oak Brook, IL 60523-1396
Phone (630) 280-8173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC012091PAMDProfessional Counselor
071011380ILMDClinical Neuropsychologist
PS020065PAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Tucci PHD LLC Clinical Neuropsychologist CurrentSince Aug 1, 2025 Accepting new patients

Locations

2021 Midwest Rd
Ste 104
Oak Brook, IL 60523
Phone (630) 280-8173

Organizations & group practices 1

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1790522480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E STREAMWOOD BLVD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071439",
            "telephone_number": "724-961-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MIDWEST RD STE 104",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231396",
            "telephone_number": "630-280-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUCH",
        "first_name": "CHRISTIE",
        "middle_name": "BELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012091",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071011380",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS020065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.