Active NPI
Margaret Rohde Bongiorno, PH.D.
- Clinical Psychologist
- Wheaton, IL
National Provider Identifier
1659587889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 71-2801
- Practice address
- 417 W Roosevelt Rd
Suite 10a
Wheaton, IL 60187-2320 - Phone
- (630) 744-3450
- Fax
- (630) 871-3784
- NPI assigned
- May 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 71-2801 | IL | Primary |
Addresses
Primary practice location
417 W Roosevelt Rd
Suite 10a
Wheaton, IL 60187-2320
Mailing address
PO Box 453
Winfield, IL 60190-0453
Phone (630) 744-3450
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71-2801 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659587889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 453",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601900453",
"telephone_number": "630-744-3450",
"fax_number": "630-871-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W ROOSEVELT RD",
"address_2": "SUITE 10A",
"city": "WHEATON",
"state": "IL",
"postal_code": "601872320",
"telephone_number": "630-744-3450",
"fax_number": "630-871-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONGIORNO",
"first_name": "MARGARET",
"middle_name": "ROHDE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "71-2801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.