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Deactivated NPI 1477878015 Deactivated / Inactive NPI Female Practitioner

Dr. Jayne M. Bazos , PsyD

Psychologist • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jayne Bazos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 06, 2010
NPI Deactivation Date February 28, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jayne Bazos, PsyD was a registered Psychologist practicing in Chicago, IL. Throughout an active medical career spanning 14 years, Dr. Bazos provided care at the practice location at 405 N WABASH AVE until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

405 N Wabash Ave
Suite 1814

Chicago, IL 606113591

Telephone 8475628745
Associated Practice Facility / Clinic
🏢 Lisa A Rone Md Facility NPI 1205932829

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
350 Specialists

Practicing in Chicago, IL (1075 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071005266

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Natalia Pascal , PhD

Psychologist - Clinical

NPI 1023168416

Doctor of Philosophy (Ph.D.)

Melinda Yachnin , MA

Counselor - Professional

NPI 1033341391

Master of Arts

Dr. Alexandra Novakovic , PhD

Psychologist - Clinical

NPI 1043456825

Doctor of Philosophy (Ph.D.)

Monica Caine , PT

Physical Therapist

NPI 1053619106

Physical Therapist

Dr. Ryan Jarema , DPT

Physical Therapist

NPI 1053760744

Doctor of Physical Therapy

Dr. Cara Mccanse , PsyD

Psychologist - Clinical

NPI 1093003576

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active April 06, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 06, 2010

Registered at 405 N WABASH AVE, SUITE 1814, CHICAGO, IL 606113591 (Tel: 8475628745)

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Updated Business Mailing Address April 06, 2010

Registered at 405 N WABASH AVE, SUITE 1814, CHICAGO, IL 606113591 (Tel: 8475628745)

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Provider Name / Credentials Updated April 06, 2010

Recorded as JAYNE BAZOS, PSY.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2010

Psychologist (License #071005266 in IL)

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Initial NPI Registration & Enumeration April 06, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477878015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2010
Last Update: April 06, 2010
Deactivation Date: February 28, 2024

Mailing Address

405 N Wabash Ave, Suite 1814

Chicago, IL 606113591

Phone: 8475628745

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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