Individual provider Active NPI

Ralph W Whetstine, PSY.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1891087540
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008198 Issued in IL
Practice address
830 E Higgins Rd
Suite 104H
Schaumburg, IL 60173-4797
Phone
(708) 825-6108
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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 071008198 IL Primary

Addresses

Primary practice location

830 E Higgins Rd
Suite 104H
Schaumburg, IL 60173-4797

Mailing address

830 E Higgins Rd
Suite 104H
Schaumburg, IL 60173-4797
Phone (708) 825-6108

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
I20111111000417 IL Practitioner - Clinical Psychologist 7113191099 Practice locations: Schaumburg, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

830 E Higgins Rd
Schaumburg, IL 60173-4792
Phone (708) 825-6108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008198ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Out Loud Counseling Services PLLC PastSince Sep 16, 2020 Accepting new patients
Dr Ralph Whetstine PSYD & Assoc PC Clinical PastSince Feb 9, 2020 Accepting new patients

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1891087540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD",
            "address_2": "SUITE 104H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734797",
            "telephone_number": "708-825-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD",
            "address_2": "SUITE 104H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734797",
            "telephone_number": "708-825-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTINE",
        "first_name": "RALPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.