Individual provider Active NPI

Ralph John Tobias, PHD

  • Clinical Psychologist
  • Libertyville, IL
National Provider Identifier
1699787598
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005174 Issued in IL
Practice address
1580 S Milwaukee Ave Ste 502
Libertyville, IL 60048-3776
Phone
(847) 525-0810
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 071005174 IL Primary

Addresses

Primary practice location

1580 S Milwaukee Ave Ste 502
Libertyville, IL 60048-3776

Mailing address

1037 W Partridge Dr
Palatine, IL 60067-7044
Phone (847) 525-0810

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
I20051031000383 IL Practitioner - Clinical Psychologist 6507883410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1580 S Milwaukee Ave
Suite 502
Libertyville, IL 60048-3776
Phone (847) 525-0810

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Finn Counseling, LLC CurrentSince Dec 28, 2022 Accepting new patients
Tobias and Associates, P.C. Clinical CurrentSince Jun 8, 2009 Accepting new patients

Locations

1580 S Milwaukee Ave
Ste 515
Libertyville, IL 60048
Phone (847) 247-9300

1580 S Milwaukee Ave
Ste 502
Libertyville, IL 60048
Phone (224) 725-3306

Organizations & group practices 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1699787598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 W PARTRIDGE DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677044",
            "telephone_number": "847-525-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE STE 502",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483776",
            "telephone_number": "847-525-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "RALPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.