Individual provider Active NPI

Whitney Freeman Tschan, PSY.D.

  • Clinical Psychologist
  • Arlington Heights, IL
National Provider Identifier
1336422542
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008206 Issued in IL
Practice address
121 S Wilke Rd
Suite 200
Arlington Heights, IL 60005-1533
Phone
(847) 577-0904
Fax
(847) 577-1558
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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 071008206 IL Primary

Addresses

Primary practice location

121 S Wilke Rd
Suite 200
Arlington Heights, IL 60005-1533

Mailing address

1319 Coventry LN
Northbrook, IL 60062-4338
Phone (847) 715-0904

Other practice location 1

415 W Golf Rd Ste 16
Arlington Heights, IL 60005-3923
Phone (847) 577-0904

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
I20111215000916 IL Practitioner - Clinical Psychologist 8921273160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Behavioral Health Services PCGroup PAC ID 7113964511, 6 clinicians

Practice addresses (Care Compare)

415 W Golf Rd
Arlington Heights, IL 60005-3923
Phone (847) 752-6827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Behavioral Health Services, PC Clinical CurrentSince Sep 30, 2011 Accepting new patients

Locations

121 S Wilke Rd
Ste 200
Arlington Heights, IL 60005
Phone (847) 577-0904

415 W Golf Rd
Ste 16
Arlington Hts, IL 60005
Phone (847) 577-0904

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": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1336422542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 COVENTRY LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624338",
            "telephone_number": "847-715-0904",
            "fax_number": "847-577-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051533",
            "telephone_number": "847-577-0904",
            "fax_number": "847-577-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Golf Rd Ste 16",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600053923",
            "country_code": "US",
            "telephone_number": "847-577-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSCHAN",
        "first_name": "WHITNEY",
        "middle_name": "FREEMAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.