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Deactivated NPI 1437403201 Deactivated / Inactive NPI Male Practitioner

Dr. Jon Thomas Bauer , PsyD

Psychologist • Anita, IA

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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. Jon Bauer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2012
NPI Deactivation Date March 14, 2022
Total Practice Duration ~10 Years of Practice (2012 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Bauer, PsyD was a registered Psychologist practicing in Anita, IA. Throughout an active medical career spanning 10 years, Dr. Bauer provided care at the practice location at 210 4TH ST until profile deactivation on 2022-03-14.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

210 4th St
# 237d

Anita, IA 500201163

Telephone 7122920486

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Anita, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Anita, IA (272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
359 56 $200.00 $88.30
90832 Psychotherapy, 30 minutes
45 26 $100.00 $62.15
90791 Psychiatric diagnostic evaluation
11 11 $300.00 $138.00

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IA 001101

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.

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated March 14, 2022

Record deactivated on March 14, 2022

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Updated Practice Location January 05, 2022

Registered at 117 W WASHINGTON ST, EXIRA, IA 500767702 (Tel: 7122920486)

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Updated Business Mailing Address January 05, 2022

Registered at 117 W WASHINGTON ST, EXIRA, IA 500767702 (Tel: 7122920486)

NPI Profile Active February 22, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 22, 2013

Registered at 210 4TH ST, # 237D, ANITA, IA 500201163 (Tel: 7122920486)

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Updated Business Mailing Address February 22, 2013

Registered at 210 4TH ST, # 237D, ANITA, IA 500201163 (Tel: 7122920486)

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Provider Name / Credentials Updated February 22, 2013

Recorded as JON BAUER, PSYD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2013

Psychologist (License #001101 in IA)

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Initial NPI Registration & Enumeration November 01, 2012

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: 1437403201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2012
Last Update: February 22, 2013
Deactivation Date: March 14, 2022

Mailing Address

210 4th St, # 237d

Anita, IA 500201163

Phone: 7122920486

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.