DR. JILL DICKSON-BAURES (NPI# 1700287216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700287216 |
| Entity Type | Individual |
| Full Name | DR. JILL DICKSON-BAURES |
| Credential | PSY. D. |
| Practice Address |
2901 Hunters Trl Portage WI 53901-3403 |
| Mailing Address |
6918 W Windsor Ave Berwyn IL 60402-3334 |
| Practice Telephone | 0874255186 |
| Practice Fax Number | 6087424087 |
| Mailing Telephone | 7087455277 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3693-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1700287216 | 05 |
| Street Address |
2901 HUNTERS TRL |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973942 | Andrew Taylor Putney | Family Medicine | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-02-28 |
| 1164086112 | Claire A Staley | Social Worker | 2901 Hunters Trl, Portage, WI 53901-3403 | 2019-04-25 |
| 1467826990 | Renee Birkholz | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-11-20 |
| 1710363031 | Tomi Randall | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-08-10 |
| 1144618604 | Kristine G Schmitt | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2015-01-06 |
| 1376944504 | Meredith Sullivan | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-09-08 |
| 1619377223 | Bjorn Hanson | Psychologist | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-09-02 |
| 1649697988 | Elizabeth Abbs Erickson | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-03-25 |
| 1124259841 | Robin A Deethardt | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2009-07-29 |
| 1881823912 | Dorothy Mae Mccurdy | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593934 | Letetsia Fox | Psychologist | 1400 W Milham Ave, Portage, MI 49024-1209 | 2019-05-17 |
| 1912209156 | Shamika Hall | Psychologist | 7901 S 12th St Ste 201, Portage, MI 49024-3831 | 2010-11-19 |
| 1952597767 | Jayne Fabry, Ptc Associates | Psychologist | 1651 W Centre Ave, Portage, MI 49024-6312 | 2007-09-15 |
| 1437342565 | Emily Walker Sherwood | Psychologist | 1604 Timberlane Dr, Portage, MI 49024-5705 | 2007-08-22 |
| 1083727192 | Lee Carlin Sanders | Psychologist | 10056 Woodlawn Dr, Portage, MI 49002-7207 | 2006-08-16 |
| 1235151333 | Joyce Scully | Psychologist | 78 Ski Hill Rd, Portage, IN 46368-8719 | 2006-07-25 |
| 1033169008 | Patricia Shull-blood | Psychologist | 5148 Lovers Ln, Suite 200, Portage, MI 49002-1572 | 2006-05-11 |
| 1649245655 | Patricia Ann Lyman | Psychologist | 5220 Lovers Ln, Suite 120, Portage, MI 49002-1599 | 2006-02-22 |
| 1477530392 | Michael V Bloom | Psychologist | 7920 Kirkland Ct, Portage, MI 49024-4974 | 2005-12-30 |
| 1598746778 | James Darrell Cowart | Psychologist | 5100 Lovers Ln, Trestlewood, Bldg. D, Portage, MI 49002-1558 | 2005-11-07 |
| Find all providers in PORTAGE | ||||
Please comment or provide details below to improve the information on DR. JILL DICKSON-BAURES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.