Active NPI
Madison Rose Rychtanek, LPC, ATR-P
- Art Therapist
- Arlington Heights, IL
National Provider Identifier
1336989532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 23-508
- Practice address
- 3115 N Wilke Rd Ste Hio
Arlington Heights, IL 60004-1400 - Phone
- (847) 975-5598
- NPI assigned
- May 28, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 178.020049 | IL | |
| Art Therapist | 221700000X | 23-508 | IL | Primary |
Addresses
Primary practice location
3115 N Wilke Rd Ste Hio
Arlington Heights, IL 60004-1400
Mailing address
1041 Autumn Dr
Antioch, IL 60002-2413
Phone (224) 545-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.020049 | IL | MD | Counseling Psychologist |
| 23-508 | IL | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Tree House Center for Growth and Learning | Current | Accepting new patients |
Locations
3115 N Wilke Rd
Ste Hio
Arlington Heights, IL 60004
Phone (224) 545-3146
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Arlington Heights, IL
- NPI 1528460235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1336989532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 AUTUMN DR",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600022413",
"telephone_number": "224-545-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 N WILKE RD STE HIO",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041400",
"telephone_number": "847-975-5598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYCHTANEK",
"first_name": "MADISON",
"middle_name": "ROSE",
"credential": "LPC, ATR-P",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IL",
"license": "178.020049",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "IL",
"license": "23-508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.