Frederick Wilburn Bylsma, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071-005398 Issued in IL

Practice address

3375 N Arlington Heights Rd
Suite K
Arlington Heights, IL 60004-7701

Phone

(847) 738-4528

Fax

(847) 394-4176

NPI assigned

Mar 15, 2006

Last updated

Mar 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Neuropsychological Services PC

  • Clinical Neuropsychologist
  • Arlington Heights, IL
  • NPI 1205882313
  Authorized official Same address or phone
• Self Improvement Through Awareness PC

  dba SITA pc

  • Clinical Psychologist
  • Darien, IL
  • NPI 1649298324
  NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1164491817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "STE 2210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017455",
            "telephone_number": "847-738-4528",
            "fax_number": "847-394-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE K",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-738-4528",
            "fax_number": "847-394-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLSMA",
        "first_name": "FREDERICK",
        "middle_name": "WILBURN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071-005398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria T Buttadauro, DPT
• Mahreen Alina Bux, DO, MBA, MPH
• Byer Clinic of Chiropractic, LTD
• Carl E Byer, D.C.
• Erica Byers, RN BSN PEL-SN
• C2Act, LLC
• Angela Cierra Caban, LPCC
• Taja Cabrera
• Brian M Cadre, M.D.
• Jennifer Ann Cahill, M.D.

• Clinical Neuropsychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.