Active NPI
North Shore Psychotherapy, PLLC
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008109
- Legal business name
- NORTH SHORE PSYCHOTHERAPY, PLLC
- Practice address
- 2835 N Sheffield Ave Ste 402
Chicago, IL 60657-5084 - Phone
- (847) 778-5533
- Fax
- (833) 325-1651
- NPI assigned
- Jun 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody K Rotblatt, PSY.D.
- Title
- Owner
- Phone
- (847) 323-8189
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008109 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 149018766 | IL |
Addresses
Primary practice location
2835 N Sheffield Ave Ste 402
Chicago, IL 60657-5084
Mailing address
206 Whistler Rd
Highland Park, IL 60035-5955
Phone (847) 323-8189
Other practice location 1
5225 Old Orchard Rd Ste 4
Skokie, IL 60077-1027
Phone (857) 323-8189
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982122412 | Other | IL | BCBS-IL |
| 1487872735 | Other | IL | BCBS-IL |
National Provider Directory
National Provider DirectoryLocations
2502 N Clark St
Ste 217
Chicago, IL 60614
Phone (630) 280-9627
2835 N Sheffield Ave
Ste 402
Chicago, IL 60657
Phone (773) 880-8815
2502 N Clark St
Chicago, IL 60614
Phone (773) 281-6345
420 Lake Cook Rd
Ste 113
Deerfield, IL 60015
Phone (847) 323-8189
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Chicago, IL
- NPI 1417818956
-
- Mental Health Counselor
- Chicago, IL
- NPI 1720771009
-
- Social Worker
- Chicago, IL
- NPI 1497134282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1154814713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 WHISTLER RD",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355955",
"telephone_number": "847-323-8189",
"fax_number": "833-325-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 N SHEFFIELD AVE STE 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575084",
"telephone_number": "847-778-5533",
"fax_number": "833-325-1651"
}
],
"practiceLocations": [
{
"address_1": "5225 Old Orchard Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600771027",
"country_code": "US",
"telephone_number": "857-323-8189",
"fax_number": "833-325-1651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH SHORE PSYCHOTHERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-08",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "ROTBLATT",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-323-8189",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008109",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149018766",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-IL",
"identifier": "1982122412",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-IL",
"identifier": "1487872735",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.