Individual provider Active NPI

Joseph M Ripp, PSY. D.

  • Psychologist
  • Schaumburg, IL
National Provider Identifier
1427071679
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071004907 Issued in IL
Practice address
919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173-4760
Phone
(847) 413-9700
Fax
(847) 413-1701
NPI assigned
Jul 26, 2006
Last updated
Sep 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071004907 IL Primary

Addresses

Primary practice location

919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173-4760

Mailing address

919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173-4760
Phone (847) 413-9700

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
I20051130000363 IL Practitioner - Clinical Psychologist 6800816281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Growth Associates, Inc.Group PAC ID 8921058140, 13 clinicians

Practice addresses (Care Compare)

919 N Plum Grove Rd
Suite C
Schaumburg, IL 60173-4760
Phone (847) 413-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071004907ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Growth Associates, Inc. Psychologist CurrentSince Sep 1, 2005 Accepting new patients

Locations

800 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 474-9600

919 N Plum Grove Rd
Ste C
Schaumburg, IL 60173
Phone (847) 413-9700

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1427071679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N PLUM GROVE RD",
            "address_2": "STE C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734760",
            "telephone_number": "847-413-9700",
            "fax_number": "847-413-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N PLUM GROVE RD",
            "address_2": "STE C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734760",
            "telephone_number": "847-413-9700",
            "fax_number": "847-413-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPP",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071004907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.