DR. DESIREE ANNE WILKINSON PHD
NPI 1669030672
Psychologist - Cognitive & Behavioral in Chicago, IL

Active since June 04, 2019Opted out of Medicare · through Jul 7, 2027
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615(859) 227-9796 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jun 4, 2019 (2 updates tracked since 2019).

About Dr. Desiree Anne Wilkinson Phd NPPES

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

DR. DESIREE ANNE WILKINSON PHD (NPI 1669030672) is an individual cognitive & behavioral provider in Chicago, Illinois, licensed in Illinois (071.009322) and active in the NPI registry since June 2019. She has opted out of Medicare through July 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669030672
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. DESIREE ANNE WILKINSONCredential: PHD
Location Address5113 S HARPER AVE STE 2CChicago, IL 60615-4119
Mailing Address1134 S Taylor AveOak Park, IL 60304-2231 · (859) 227-9796
Sole ProprietorYes
Enumeration DateJune 4, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1669030672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License Licensed in IL · 071.009322
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
5113 S HARPER AVE STE 2C, Chicago, IL 60615

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. Desiree Anne Wilkinson Phd 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 July 7, 2017 through July 7, 2027.

Opt-Out Effective DateJuly 7, 2017
Opt-Out In Effect ThroughJuly 7, 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.

Other Providers at the Same Location NPPES 20

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

Behavior Technician
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Psychiatry & Neurology (Psychiatry)
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Psychologist (Clinical)
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Home Health
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Counselor (Mental Health)
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Behavior Technician
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Behavior Technician
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615
Behavior Technician
5113 S HARPER AVE STE 2C
CHICAGO, IL 60615

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 Desiree Wilkinson's NPI number?

The NPI number for Desiree Wilkinson is 1669030672. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Desiree Wilkinson located?

Desiree Wilkinson practices at 5113 S Harper Ave Ste 2C, Chicago, IL 60615. The listed phone number is (859) 227-9796.

What is Desiree Wilkinson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Desiree Wilkinson enrolled in Medicare?

No. Desiree Wilkinson has opted out of Medicare through July 7, 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 Desiree Wilkinson was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.