Individual provider Active NPI

Robert Christopher Bibby, PSY.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1184682072
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007468 Issued in IL
Practice address
830 E Higgins Rd
Suite 111C
Schaumburg, IL 60173-4797
Phone
(224) 238-0991
Fax
(888) 975-0235
NPI assigned
May 2, 2006
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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 071.007468 IL 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
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
I20101102000759 IL Practitioner - Clinical Psychologist 7618161746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1325 Remington Rd
Suite C
Schaumburg, IL 60173-4815
Phone (224) 238-0991

2019 W Alder Dr
Hoffman Estates, IL 60192-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.007468ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Withinsight P.C. Clinical CurrentSince Jul 6, 2016 Accepting new patients

Locations

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1184682072",
    "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": {
        "last_name": "BIBBY",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.