Organization Active NPI

North Shore Psychotherapy, PLLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1154814713
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008109 Issued in IL
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

Updated by the provider on Nov 19, 2025

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071008109 IL Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1982122412OtherILBCBS-IL
1487872735OtherILBCBS-IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.