Organization Active NPI

Withinsight P.C.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1104278977
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WITHINSIGHT P.C.
Practice address
830 E Higgins Rd
Suite 111C
Schaumburg, IL 60173-4797
Phone
(224) 238-0991
Fax
(888) 975-0235
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Robert Christopher Bibby, PSY.D.NPI 1184682072
Title
Owner/President
Phone
(224) 238-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

830 E Higgins Rd
Suite 111C
Schaumburg, IL 60173-4797

Mailing address

2019 W Alder Dr
Hoffman Estates, IL 60192-1509
Phone (224) 238-0991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160830001933 IL Part B Supplier - Clinic/Group Practice 3173818150 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

830 E Higgins Rd
Ste 111C
Schaumburg, IL 60173
Phone (224) 238-0991

1325 Remington Rd
Ste C
Schaumburg, IL 60173
Phone (224) 238-0991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1104278977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 W ALDER DR",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921509",
            "telephone_number": "224-238-0991",
            "fax_number": "888-975-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD",
            "address_2": "SUITE 111C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734797",
            "telephone_number": "224-238-0991",
            "fax_number": "888-975-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHINSIGHT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "BIBBY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "224-238-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.