Natalie Jo Petrovich, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NATALIE JO PETROVICH, PLLC

Practice address

939 W Washington Blvd Apt 513
Chicago, IL 60607-2263

Phone

(630) 364-8306

Fax

(844) 990-4167

NPI assigned

Apr 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Natalie Jo Petrovich, PSYDNPI 1649764010

Title

President

Phone

(630) 364-8306

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalie Jo Petrovich, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1649764010
  NPD Authorized official

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1154063238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 W WASHINGTON BLVD APT 513",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072263",
            "telephone_number": "630-364-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W WASHINGTON BLVD APT 513",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072263",
            "telephone_number": "630-364-8306",
            "fax_number": "844-990-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Merchandise Mart Plz Ofc 4030",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606541103",
            "country_code": "US",
            "telephone_number": "630-364-8306",
            "fax_number": "844-990-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATALIE JO PETROVICH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-364-8306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "1649764010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent A Nastav, PT, DPT
• John Joseph Natale, MD
• Rachel Natale, LPC
• Natalia Anikin MD PC
• Natalie Beck, LCSW, PLLC
• Natalie Merrick Therapy, PLLC
• Natalie Murphy, LLC
• Natalie Rothstein Psychotherapy PLLC
• Natalie Sabo Therapy, LLC
• Casey Natalino, LCSW

• 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 Apr 13, 2022; 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.