Dr. Jo Wolthusen

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005997 Issued in IL

Legal business name

DR. JO WOLTHUSEN

Practice address

3413 N Kennicott Ave Ste a
Arlington Heights, IL 60004-7815

Phone

(847) 826-5881

NPI assigned

May 26, 2011

Last updated

May 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jo Wolthusen

Title

Psy.D.

Phone

(847) 826-5881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1063705861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 N KENNICOTT AVE STE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047815",
            "telephone_number": "847-826-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 N KENNICOTT AVE STE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047815",
            "telephone_number": "847-826-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JO WOLTHUSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "WOLTHUSEN",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "PSY.D.",
        "authorized_official_telephone_number": "847-826-5881"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.