Individual provider Active NPI

Neurine Elaine Wiggin, PSY.D.

  • Clinical Psychologist
  • Glencoe, IL
National Provider Identifier
1346211570
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
673 Bluff St
Glencoe, IL 60022-1656
Phone
(847) 835-2738
Fax
(847) 835-2738
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 IL Primary

Addresses

Primary practice location

673 Bluff St
Glencoe, IL 60022-1656

Mailing address

673 Bluff St
Glencoe, IL 60022-1656
Phone (847) 835-2738

Other identifiers 1

IdentifierTypeStateIssuer
01608133OtherILBLUE CROSS/BLUE SHIELD

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
I20100827000486 IL Practitioner - Clinical Psychologist 7416071428 Practice locations: Chicago, IL; Glencoe, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

673 Bluff St
Glencoe, IL 60022-1656
Phone (847) 835-2738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005202ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346211570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 BLUFF ST",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221656",
            "telephone_number": "847-835-2738",
            "fax_number": "847-835-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 BLUFF ST",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221656",
            "telephone_number": "847-835-2738",
            "fax_number": "847-835-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGIN",
        "first_name": "NEURINE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "01608133",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, IL

Sources for this page

Verify at the official NPI Registry.