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DR. DOUGLAS CLIFTON WILKERSON M. D.
NPI 1639293798
Psychologist - Psychoanalysis in Chicago, IL

Active since March 16, 2007Opted out of Medicare · through May 18, 2028
1 E WACKER DR, SUITE 630, CHICAGO, IL 60601(312) 755-0643(773) 538-8278 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Douglas Clifton Wilkerson M. D. NPPES

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

DR. DOUGLAS CLIFTON WILKERSON M. D. (NPI 1639293798) is an individual psychoanalysis provider in Chicago, Illinois and active in the NPI registry since March 2007. He has opted out of Medicare through May 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639293798
Entity TypeIndividualMale
Primary Taxonomy103TP0814X
Provider Legal NameDR. DOUGLAS CLIFTON WILKERSONCredential: M. D.
Location Address1 E WACKER DR, SUITE 630Chicago, IL 60601-1802
Mailing Address1 E Wacker Dr, Suite 630Chicago, IL 60601-1802 · (312) 755-0643 · Fax (773) 538-8278
Phone(312) 755-0643
Fax(773) 538-8278
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639293798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers
Taxonomy Code103TP0814X
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
1 E WACKER DR, Chicago, IL 60601
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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

Dr. Douglas Clifton Wilkerson M. 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 May 18, 2016 through May 18, 2028.

Opt-Out Effective DateMay 18, 2016
Opt-Out In Effect ThroughMay 18, 2028Opt-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.

Other Providers at the Same Location NPPES 14

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

WINDY CITY COUNSELING LLC
Counselor (Professional)
1 E WACKER DR, SUITE 630
CHICAGO, IL 60601
Cook County (312) 860-0480
CSG DENTAL II, P.C.
Dentist (General Practice)
1 E WACKER DR, SUITE 400
CHICAGO, IL 60601
Cook County (773) 847-1260
CSG DENTAL III, P.C.
Dentist (General Practice)
1 E WACKER DR, SUITE 400
CHICAGO, IL 60601
Cook County (773) 847-1260
DR. MARK CHRISTOPHER WALKER M.D.
Psychiatry & Neurology (Psychiatry)
1 E WACKER DR, SUITE 2100
CHICAGO, IL 60601
Cook County (312) 908-7878
DR. RICHARD P. HARRIS M.D.
Psychiatry & Neurology (Psychiatry)
1 E WACKER DR, SUITE 2100
CHICAGO, IL 60601
Cook County (312) 670-3576
WENDEWESSEN AMDE M.D.
Ophthalmology
1 E WACKER DR, STE. #3150
CHICAGO, IL 60601
Cook County (312) 527-1880
ROACHE & ASSOCIATES
Counselor (Mental Health)
1 E WACKER DR
CHICAGO, IL 60601
Cook County (847) 269-0069
CSG DENTAL I, P.C.
Dentist (General Practice)
1 E WACKER DR, SUITE 400
CHICAGO, IL 60601
Cook County (773) 847-1260

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 Douglas Wilkerson's NPI number?

The NPI number for Douglas Wilkerson is 1639293798. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Douglas Wilkerson located?

Douglas Wilkerson practices at 1 E Wacker Dr Suite 630, Chicago, IL 60601. The listed phone number is (312) 755-0643.

What is Douglas Wilkerson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Is Douglas Wilkerson enrolled in Medicare?

No. Douglas Wilkerson has opted out of Medicare through May 18, 2028. 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 Douglas Wilkerson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.