DR. AMBER D BAUER-GAMBLA PH.D.
NPI 1003054339
Psychologist in Chicago, IL

Active since January 23, 2009Opted out of Medicare · through Oct 15, 2026
25 EAST WASHINGTON STREET, SUITE 1601, CHICAGO, IL 60602(312) 720-8008 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Amber D Bauer-gambla Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMBER D BAUER-GAMBLA PH.D. (NPI 1003054339) is an individual psychologist in Chicago, Illinois, licensed in Illinois (071007604) and active in the NPI registry since January 2009. She has opted out of Medicare through October 15, 2026.

NPPES Registry Identity

NPI1003054339
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMBER D BAUER-GAMBLACredential: PH.D.
Location Address25 EAST WASHINGTON STREET, SUITE 1601Chicago, IL 60602
Mailing Address25 East Washington Street, Suite 1601Chicago, IL 60602 · (773) 412-0010
Sole ProprietorYes
Enumeration DateJanuary 23, 2009
Last NPPES UpdateFebruary 16, 2010
NPI 1003054339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071007604
Definition

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071007604 (IL)
25 EAST WASHINGTON STREET, Chicago, IL 60602

Other Names 1

Former Name (1)Dr. Amber D. Bauer Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Amber D Bauer-gambla Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2024 through October 15, 2026.

Opt-Out Effective DateOctober 15, 2024
Opt-Out In Effect ThroughOctober 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
25 EAST WASHINGTON STREET, SUITE 302
CHICAGO, IL 60602
Dentist (General Practice)
25 EAST WASHINGTON STREET, SUITE 1901
CHICAGO, IL 60602
Dentist (Oral and Maxillofacial Surgery)
25 EAST WASHINGTON STREET, SUITE 1823
CHICAGO, IL 60602
Physical Therapist
25 EAST WASHINGTON STREET, #1310
CHICAGO, IL 60602
Psychologist
25 EAST WASHINGTON STREET, SUITE 908
CHICAGO, IL 60602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003054339, enumerated as an "individual" on January 23, 2009.

The provider is located at 25 EAST WASHINGTON STREET SUITE 1601 CHICAGO, IL 60602 and the phone number is (312) 720-8008.

Psychologist with taxonomy code 103T00000X.