Individual provider Active NPI

Joanne A Ratkowski, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1295953115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
71006837 Issued in IL
Practice address
5015 N Paulina
Ste 310
Chicago, IL 60640
Phone
(773) 271-2004
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 71006837 IL Primary

Addresses

Primary practice location

5015 N Paulina
Ste 310
Chicago, IL 60640

Mailing address

1219 N Noble St
#2N
Chicago, IL 60622-3377
Phone (773) 720-2781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000671 IL Practitioner - Clinical Psychologist 0749236115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 367
Chicago, IL 60631-3714
Phone (773) 957-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71006837ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne Ratkowski, SC Clinical CurrentSince Jan 7, 2011 Accepting new patients
Michael J. Gainer, PH.D., P.C. Clinical Past Accepting new patients

Locations

7447 W Talcott Ave
Ste 367
Chicago, IL 60631
Phone (773) 957-0150

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295953115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N NOBLE ST",
            "address_2": "#2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223377",
            "telephone_number": "773-720-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA",
            "address_2": "STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-271-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATKOWSKI",
        "first_name": "JOANNE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71006837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.