Organization Active NPI

Geraldine Katz-Atkin and Associates

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1194955476
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003754 Issued in IL
Legal business name
GERALDINE KATZ-ATKIN AND ASSOCIATES
Practice address
751 Roosevelt Rd
BLDG. 7 Suite 115
Glen Ellyn, IL 60137-5904
Phone
(630) 942-9370
Fax
(630) 942-9383
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Ms. Geraldine Joyce Katz-Atkin, LCSW
Title
President
Phone
(630) 942-9370

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 071005522 IL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149003754 IL Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149005209 IL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149001577 IL
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 164004107 IL

Addresses

Primary practice location

751 Roosevelt Rd
BLDG. 7 Suite 115
Glen Ellyn, IL 60137-5904

Mailing address

751 Roosevelt Rd
BLDG. 7 Suite 115
Glen Ellyn, IL 60137-5904
Phone (630) 942-9370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1194955476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ROOSEVELT RD",
            "address_2": "BLDG. 7 SUITE 115",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375904",
            "telephone_number": "630-942-9370",
            "fax_number": "630-942-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROOSEVELT RD",
            "address_2": "BLDG. 7 SUITE 115",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375904",
            "telephone_number": "630-942-9370",
            "fax_number": "630-942-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALDINE KATZ-ATKIN AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "KATZ-ATKIN",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-942-9370",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "071005522",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003754",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001577",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.