DR. STEFAN ELLIOT LATULIP (PH.D.) – Clinical Neuropsychologist, NPI 1760101125

DR. STEFAN ELLIOT LATULIP (PH.D.) is a healthcare provider. based in Oak brook, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 071010810 (IL). The NPI Number for DR. STEFAN ELLIOT LATULIP (PH.D.) is 1760101125

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEFAN ELLIOT LATULIP (PH.D.)
NPI
1760101125
Phone
(630) 280-8173
Address
2021 MIDWEST RD STE 104
Enumeration Date
26 August 2022
Last Update Date
26 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302808173
Graduation Year
2020 (6 years ago)
PAC ID
2860862026
Group Practice PAC ID
8628408671
Professional Enrollment ID
I20230104000679
Address ID
IL605231396OA2021XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. STEFAN ELLIOT LATULIP (PH.D.)

  • 2021 MIDWEST RD STE 104

    OAK BROOK, IL 605231396

    Phone: (630) 280-8173

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230104000679IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes6513$0
96133Evaluation of neuropsychological test, each additional hour5113$0
90785Psychiatric services complicated by communication factor1513$0
96132Evaluation of neuropsychological test, first hour1313$0
96116Exam of neurobehavioral status, first hour1313$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628408671View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

What NPI should I save for DR. STEFAN ELLIOT LATULIP (PH.D.)?
Save NPI 1760101125 if you need a stable reference for DR. STEFAN ELLIOT LATULIP (PH.D.).
Is DR. STEFAN ELLIOT LATULIP (PH.D.) currently active in the NPI registry?
CMS-published data lists DR. STEFAN ELLIOT LATULIP (PH.D.) as an active registrant.
What does DR. STEFAN ELLIOT LATULIP (PH.D.) treat or focus on?
Patients typically see DR. STEFAN ELLIOT LATULIP (PH.D.) under the specialty Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. STEFAN ELLIOT LATULIP (PH.D.)?
We surface Oak Brook, Illinois for DR. STEFAN ELLIOT LATULIP (PH.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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