Organization Active NPI

Joanne E Hattendorf Ed D LLC

  • Counseling Psychologist
  • Joliet, IL
National Provider Identifier
1083916688
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
071005887 Issued in IL
Legal business name
JOANNE E HATTENDORF ED D LLC
Practice address
200 N Hammes Ave
Suite 3
Joliet, IL 60435-6677
Phone
(815) 744-8253
NPI assigned
Dec 2, 2010
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Joanne E Hattendorf, EDD
Title
President
Phone
(815) 744-8253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 071005887 IL Primary

Addresses

Primary practice location

200 N Hammes Ave
Suite 3
Joliet, IL 60435-6677

Mailing address

200 N Hammes Ave
Suite 3
Joliet, IL 60435-6677
Phone (815) 744-8253

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1083916688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N HAMMES AVE",
            "address_2": "SUITE 3",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356677",
            "telephone_number": "815-744-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HAMMES AVE",
            "address_2": "SUITE 3",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356677",
            "telephone_number": "815-744-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE E HATTENDORF ED D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "HATTENDORF",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-744-8253",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "071005887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.