Individual provider Active NPI

Bonnie Lee Whyte, PH.D.

  • Clinical Psychologist
  • Des Plaines, IL
National Provider Identifier
1033277017
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071003482 Issued in IL
Practice address
950 Lee St
Ste 202
Des Plaines, IL 60016-6532
Phone
(847) 696-1100
Fax
(847) 696-9515
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071003482 IL Primary

Addresses

Primary practice location

950 Lee St
Ste 202
Des Plaines, IL 60016-6532

Mailing address

800 E Northwest Hwy
Ste 206
Mount Prospect, IL 60056-3457
Phone (847) 696-1100

Other names 1

  • Dr. Bonnie Lee Whyte Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000460 IL Practitioner - Clinical Psychologist 7810940301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgemiller Whyte and Associates PCGroup PAC ID 6002869591, 6 clinicians

Practice addresses (Care Compare)

800 E Northwest Hwy
Suite 206
Mount Prospect, IL 60056-3457
Phone 8476961100135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Georgemiller, Whyte & Associates, PC Clinical CurrentSince Jun 1, 2007 Accepting new patients

Locations

800 E Northwest Hwy
Ste 206
Mt Prospect, IL 60056
Phone (847) 483-0200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1033277017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY",
            "address_2": "STE 206",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563457",
            "telephone_number": "847-696-1100",
            "fax_number": "847-696-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LEE ST",
            "address_2": "STE 202",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166532",
            "telephone_number": "847-696-1100",
            "fax_number": "847-696-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "WHYTE",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.