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MONA D. FISHBANE PH.D.
NPI 1073720637
Psychologist - Clinical in Highland Park, IL

Active since May 16, 2007Opted out of Medicare · through Aug 10, 2027
1803 SAINT JOHNS AVE, HIGHLAND PARK, IL 60035(847) 432-2096 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mona D. Fishbane Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONA D. FISHBANE PH.D. (NPI 1073720637) is an individual clinical provider in Highland Park, Illinois, licensed in Illinois (071004171) and active in the NPI registry since May 2007. She has opted out of Medicare through August 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073720637
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMONA D. FISHBANECredential: PH.D.
Location Address1803 SAINT JOHNS AVEHighland Park, IL 60035-3298
Mailing Address1803 Saint Johns AveHighland Park, IL 60035-3298 · (847) 432-2096
Phone(847) 432-2096
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateApril 25, 2013
✔ NPI 1073720637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071004171
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1803 SAINT JOHNS AVE, Highland Park, IL 60035
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mona D. Fishbane Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2015 through August 10, 2027.

Opt-Out Effective DateAugust 10, 2015
Opt-Out In Effect ThroughAugust 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN J. ROSENBAUM MSW LCSW PC
Social Worker (Clinical)
1803 SAINT JOHNS AVE
HIGHLAND PARK, IL 60035
Lake County (847) 432-2355
MS. KAREN ANNE MARTIN L.C.S.W.
Social Worker (Clinical)
1803 SAINT JOHNS AVE
HIGHLAND PARK, IL 60035
Lake County (847) 432-2170
MRS. CAROL M SALDINGER LCSW
Social Worker (Clinical)
1803 SAINT JOHNS AVE
HIGHLAND PARK, IL 60035
Lake County (847) 564-3862
MS. JEAN W. WALBRIDGE ACSW, LCSW
Social Worker (Clinical)
1803 SAINT JOHNS AVE
HIGHLAND PARK, IL 60035
Lake County (847) 926-8328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mona Fishbane's NPI number?

The NPI number for Mona Fishbane is 1073720637. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Mona Fishbane located?

Mona Fishbane practices at 1803 Saint Johns Ave, Highland Park, IL 60035. The listed phone number is (847) 432-2096.

What is Mona Fishbane's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mona Fishbane enrolled in Medicare?

No. Mona Fishbane has opted out of Medicare through August 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mona Fishbane was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.