Organization Active NPI

Psychosocial Interventions, P.C.

  • Cognitive & Behavioral Psychologist
  • Vernon Hills, IL
National Provider Identifier
1063576478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
PSYCHOSOCIAL INTERVENTIONS, P.C.
Practice address
977 Lakeview Pkwy
Suite 1008
Vernon Hills, IL 60061-1400
Phone
(312) 618-1921
Fax
(847) 816-8881
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Henry Rosenthal, PH.D.
Title
Clinical Psychologist
Phone
(312) 618-1921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X IL Primary

Addresses

Primary practice location

977 Lakeview Pkwy
Suite 1008
Vernon Hills, IL 60061-1400

Mailing address

977 Lakeview Pkwy
Suite 1008
Vernon Hills, IL 60061-1400
Phone (312) 618-1921

Other names 1

  • Ronald Rosenthal and Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

977 Lakeview Pkwy
Ste 1008
Vernon Hills, IL 60061
Phone (312) 618-1921

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063576478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "address_2": "SUITE 1008",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "312-618-1921",
            "fax_number": "847-816-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "address_2": "SUITE 1008",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "312-618-1921",
            "fax_number": "847-816-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOSOCIAL INTERVENTIONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-618-1921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald Rosenthal and Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.