Active NPI
Philip Sarpong, PSYD
- Psychologist
- Oak Park, IL
National Provider Identifier
1588525828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 546657
- Practice address
- 205 Washington Blvd Apt 3S
Oak Park, IL 60302-4818 - Phone
- (317) 459-2543
- NPI assigned
- Nov 18, 2025
- Last updated
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 546657 | WI | Primary |
Addresses
Primary practice location
205 Washington Blvd Apt 3S
Oak Park, IL 60302-4818
Mailing address
100 Wilburn Rd Ste 100
Sun Prairie, WI 53590-1478
Phone (317) 459-2543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 546657 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1588525828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILBURN RD STE 100",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901478",
"telephone_number": "317-459-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WASHINGTON BLVD APT 3S",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024818",
"telephone_number": "317-459-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARPONG",
"first_name": "PHILIP",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-18",
"last_updated": "2025-11-18",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "546657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.