Individual provider Active NPI

Laura J Daniels, PSYD

  • Clinical Psychologist
  • Hinsdale, IL
National Provider Identifier
1942970892
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009459 Issued in IL
Practice address
15 Spinning Wheel Rd Ste 116
Hinsdale, IL 60521-2983
Phone
(630) 708-0362
Fax
(630) 282-7084
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 071.009459 IL Primary

Addresses

Primary practice location

15 Spinning Wheel Rd Ste 116
Hinsdale, IL 60521-2983

Mailing address

931 Regent St
New Lenox, IL 60451-2044
Phone (815) 462-0878

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
I20220118000966 IL Practitioner - Clinical Psychologist 5193117448 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
Dr Hastings and Associates LLCGroup PAC ID 0143597229, 3 clinicians

Practice addresses (Care Compare)

15 Spinning Wheel Rd
Suite 116
Hinsdale, IL 60521-2983
Phone (630) 708-0362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009459ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Hastings & Associates LLC CurrentSince Nov 15, 2021 Accepting new patients

Locations

15 Spinning Wheel Rd
Ste 116
Hinsdale, IL 60521
Phone (630) 708-0362

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1942970892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 REGENT ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512044",
            "telephone_number": "815-462-0878",
            "fax_number": "815-462-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD STE 116",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212983",
            "telephone_number": "630-708-0362",
            "fax_number": "630-282-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.