MEDICARE: DR. NATASHA BASU PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	544357	WI

General Provider Information

NPI Number	:	1770457822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATASHA BASU PHD

Provider Business Mailing Address
First Line	:	850 ELM GROVE RD STE 17
Second Line	:
City	:	ELM GROVE
State	:	WI
Zip	:	53122-2527
Country	:	US
Telephone Number	:	414-909-0110
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 ELM GROVE RD STE 17
Second Line	:
City	:	ELM GROVE
State	:	WI
Zip	:	53122-2527
Country	:	US
Telephone Number	:	414-909-0110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	11/08/2025

Similar Medicare Providers

1932156205 — MR. DANIEL WONG LOPEZ-TAN MD
Practice Location Address:

850 ELM GROVE RD
ELM GROVE, WI
53122-2527

Practice Phone: 262-879-8014
Practice Fax:

1184136939 — LEGACY HOSPICE CARES LLC
Practice Location Address:

850 ELM GROVE RD STE 21
ELM GROVE, WI
53122-2527

Practice Phone: 262-716-6802
Practice Fax:

1861161861 — ANNA SYLVIA WEBER PSYD
Practice Location Address:

850 ELM GROVE RD STE 17
ELM GROVE, WI
53122-2527

Practice Phone: 414-909-0114
Practice Fax:

1073482758 — DR. SAMANTHA SCHWARTZ PSYD
Practice Location Address:

850 ELM GROVE RD STE 17
ELM GROVE, WI
53122-2527

Practice Phone: 414-909-0110
Practice Fax:

1225125388 — UNITED CEREBRAL PALSY ASSOCIATION OF GREATER SUFFOLK, INC.
Practice Location Address:

38 CORNELIA LN
LAKE GROVE, NY
11755-2527

Practice Phone: 631-232-0011
Practice Fax: 631-232-0595

1235271149 — UNITED CEREBRAL PALSY ASSOCIATION OF GREATER SUFFOLK, INC
Practice Location Address:

38 CORNELIA LN
LAKE GROVE, NY
11755-2527

Practice Phone: 631-232-0011
Practice Fax:

Directions to “ DR. NATASHA BASU PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.