Organization Active NPI

Tobias and Associates, P.C.

  • Clinical Psychologist
  • Libertyville, IL
National Provider Identifier
1205010550
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005174 Issued in IL
Legal business name
TOBIAS AND ASSOCIATES, P.C.
Practice address
1580 S Milwaukee Ave Ste 502
Libertyville, IL 60048-3776
Phone
(847) 525-0810
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Dr. Ralph John Tobias, PHDNPI 1699787598
Title
Clinical Psychologist
Phone
(847) 525-0810

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071005174 IL Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1580 S Milwaukee Ave Ste 502
Libertyville, IL 60048-3776

Mailing address

1037 W Partridge Dr
Palatine, IL 60067-7044
Phone (847) 525-0810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090915000291 IL Part B Supplier - Clinic/Group Practice 9234285347 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Locations

1644 W Colonial Pkwy
Ste 2
Inverness, IL 60067
Phone (847) 525-0810

1580 S Milwaukee Ave
Ste 515
Libertyville, IL 60048
Phone (847) 247-9300

Practitioners & affiliated clinicians

Practitioners 3

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": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1205010550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 W PARTRIDGE DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677044",
            "telephone_number": "847-525-0810",
            "fax_number": "847-247-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE STE 502",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483776",
            "telephone_number": "847-525-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIAS AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "TOBIAS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-525-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005174",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.