Individual provider Active NPI

Ronald A Lapporte, PH.D.

  • Clinical Psychologist
  • Park Ridge, IL
National Provider Identifier
1942301080
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
1580 N Northwest Hwy
Suite 224-a
Park Ridge, IL 60068-1444
Phone
(847) 299-3628
Fax
(847) 236-9115
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 IL Primary

Addresses

Primary practice location

1580 N Northwest Hwy
Suite 224-a
Park Ridge, IL 60068-1444

Mailing address

1580 N Northwest Hwy
Suite 224-a
Park Ridge, IL 60068-1444
Phone (847) 299-3628

Other identifiers 2

IdentifierTypeStateIssuer
01619534OtherILBCBS PROVIDER NUMBER
6089-9417OtherILAM PSYCHOLOGICAL ASSN

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
I20180625000975 IL Practitioner - Clinical Psychologist 5294080743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Lapporte Wright and Assoc PCGroup PAC ID 3779848148, 3 clinicians

Practice addresses (Care Compare)

1580 N Northwest Hwy
Suite 121B
Park Ridge, IL 60068-1462
Phone 84729936282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-004774ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS, Lapporte, Wright & Assoc., P.C. Clinical CurrentSince Jan 1, 1994 Accepting new patients

Locations

1580 N Northwest Hwy
Ste 224A
Park Ridge, IL 60068
Phone (847) 299-3628

1580 N Northwest Hwy
Ste 121B
Park Ridge, IL 60068
Phone (847) 299-3628

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1942301080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "SUITE 224-A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "847-299-3628",
            "fax_number": "847-236-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "SUITE 224-A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "847-299-3628",
            "fax_number": "847-236-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPPORTE",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01619534",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM PSYCHOLOGICAL ASSN",
            "identifier": "6089-9417",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.