PEGGY WINGO PH.D., LLC
NPI 1649302050
Psychologist - Clinical in Libertyville, IL

Q: What is Peggy Wingo Ph.D., LLC's NPI number?

The NPI number for Peggy Wingo Ph.D., LLC is 1649302050. It was assigned to this organization in the NPPES registry on March 12, 2007.

Q: What is Peggy Wingo Ph.D., LLC's specialty?

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

Active since March 12, 2007

1248 AMERICAN WAY, LIBERTYVILLE, IL 60048(847) 691-7533(224) 433-6998 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Peggy Wingo Ph.d., Llc NPPES

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

PEGGY WINGO PH.D., LLC (NPI 1649302050) is a healthcare organization registered as a clinical in Libertyville, Illinois and active in the NPI registry since March 2007. The organization lists Peggy Wingo, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1649302050

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePEGGY WINGO PH.D., LLC

Location Address1248 AMERICAN WAYLibertyville, IL 60048-3936

Mailing Address1248 American WayLibertyville, IL 60048-3936 · (847) 691-7533 · Fax (224) 433-6998

Phone(847) 691-7533

Fax(224) 433-6998

Organization SubpartNo

Authorized OfficialPeggy WingoClinical Psychologist · (847) 691-7533

Enumeration DateMarch 12, 2007

Last NPPES UpdateApril 24, 2017

✔ NPI 1649302050 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 · 071-004959

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.

1248 AMERICAN WAY, Libertyville, IL 60048

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peggy Wingo Ph.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peggy Wingo Ph.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peggy Wingo, PH.D.,LLC

Clinical Psychologist

NPI 1326244625

1248 AMERICAN WAY
Libertyville, IL 60048

(847) 691-7533

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peggy Wingo Ph.D., LLC's NPI number?

The NPI number for Peggy Wingo Ph.D., LLC is 1649302050. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Peggy Wingo Ph.D., LLC located?

Peggy Wingo Ph.D., LLC is located at 1248 American Way, Libertyville, IL 60048. The listed phone number is (847) 691-7533.

What is Peggy Wingo Ph.D., LLC's specialty?

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

Is Peggy Wingo Ph.D., LLC enrolled in Medicare?

Yes. Peggy Wingo Ph.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peggy Wingo Ph.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Peggy Wingo Ph.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peggy Wingo Ph.D., LLC was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.