Individual provider Active NPI

Allen Lee Hauer, PH. D.

  • Psychologist
  • Oshkosh, WI
National Provider Identifier
1871632919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0616 Issued in WI
Practice address
303 Pearl Ave
Oshkosh, WI 54901-4774
Phone
(920) 231-8869
Fax
(920) 231-8910
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0616 WI Primary

Addresses

Primary practice location

303 Pearl Ave
Oshkosh, WI 54901-4774

Mailing address

303 Pearl Ave
Oshkosh, WI 54901-4774
Phone (920) 231-8869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0616WIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871632919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PEARL AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014774",
            "telephone_number": "920-231-8869",
            "fax_number": "920-231-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PEARL AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014774",
            "telephone_number": "920-231-8869",
            "fax_number": "920-231-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUER",
        "first_name": "ALLEN",
        "middle_name": "LEE",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "0616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.