John F Newbauer, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20090202A Issued in IN

Practice address

10008 Saint Clairs Retreat
Fort Wayne, IN 46825-2025

Phone

(260) 615-0156

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• S.T.a.R. Care Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Wayne, IN
  • NPI 1710464086
  Medicare reassignment NPD
• Ywca Northeast Indiana Inc

  • Substance Abuse Rehabilitation Facility
  • Fort Wayne, IN
  • NPI 1629533658

  Psychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1891818126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 SAINT CLAIRS RETREAT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252025",
            "telephone_number": "260-615-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 SAINT CLAIRS RETREAT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252025",
            "telephone_number": "260-615-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBAUER",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20090202A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PT. B",
            "identifier": "667140A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100171271",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000143177",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Leaf Recreation, LLC (New Leaf Specialized Therapies)
• New Life Chiropractic Center, Inc.
• New Life Health & Wellness SW, LLC
• New Solutions Coaching and Counseling LLC
• New Wave Behavior Management, LLC. (A.I.D. Behavior Management)
• Samantha Marie Newell
• Amber Newlin
• Jeff Newman
• Malik Newman, RBT
• Rebecca N Newman, BCBA

• Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.