Individual provider Active NPI

Bonnie Schwartz Garfield, PH D

  • Clinical Psychologist
  • Highland Park, IL
National Provider Identifier
1790888386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004017 Issued in IL
Practice address
1893 Sheridan Rd
1
Highland Park, IL 60035-2628
Phone
(847) 433-5859
Fax
(847) 433-2422
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 071004017 IL Primary

Addresses

Primary practice location

1893 Sheridan Rd
1
Highland Park, IL 60035-2628

Mailing address

1893 Sheridan Rd
1
Highland Park, IL 60035-2628
Phone (847) 433-5859

Other identifiers 2

IdentifierTypeStateIssuer
04972071OtherILBLUE CROSS BLUE SHIELD
4607174OtherAETNA INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071004017ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790888386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD",
            "address_2": "1",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352628",
            "telephone_number": "847-433-5859",
            "fax_number": "847-433-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD",
            "address_2": "1",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352628",
            "telephone_number": "847-433-5859",
            "fax_number": "847-433-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFIELD",
        "first_name": "BONNIE",
        "middle_name": "SCHWARTZ",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04972071",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "4607174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.