Geoffrey J Bathje, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003125963 Issued in IL

Practice address

3324 W North Ave
Chicago, IL 60647-4935

Phone

(312) 291-1978

NPI assigned

Jul 15, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 5, 2025 through May 5, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liminal States Co

  • Clinical Psychologist
  • Homewood, IL
  • NPI 1942160742
  NPD Authorized official

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1063853307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 HOLBROOK RD APT 30A",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304529",
            "telephone_number": "312-291-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474935",
            "telephone_number": "312-291-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHJE",
        "first_name": "GEOFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "003125963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Bates, PHD
• Trenae M Bates, LCSW
• Douglas E Batesky, M.D.
• Melody Bather-Gardner, MA, MISA II
• Jennifer Bathgate, RDN
• Baljinder Singh Bathla, M.D.
• Tanvi Batish
• Tatiana A Batista, DO
• Malgorzata Teresa Batko
• Michelle Batko

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.