Park Ridge Psychological Services, LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.006986 Issued in IL

Legal business name

PARK RIDGE PSYCHOLOGICAL SERVICES, LTD

Doing business as

Paterno & Associates

Practice address

36 Main St
Park Ridge, IL 60068-4059

Phone

(847) 692-6692

Fax

(847) 496-3388

NPI assigned

Aug 21, 2006

Last updated

Dec 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dathan A Paterno, PSY.D.NPI 1174608400

Title

Owner

Phone

(847) 692-6692

Specialties & licenses 1

Addresses

Other names 1

• Paterno & Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dathan A. Paterno, PSY.D.

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1174608400
  Medicare reassignment Authorized official
• Ioana Batzova, LPC, PEL

  • Professional Counselor
  • Wheaton, IL
  • NPI 1215550017
  NPD
• Jessica Fox Levy, LCPC

  • Pastoral Counselor
  • Park Ridge, IL
  • NPI 1528336328
  NPD
• Dyanne Cynthia Bresler, LCPC

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1740499466
  NPD (past)
• Pascale Raoul Burns, BA, MA

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1700303252
  NPD (past)
• Jennifer Graus, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1518413277
  NPD (past)
• Ilana Gross, PSYD

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1033609441
  NPD (past)
• Hannah Hopper

  • Professional Counselor
  • Chicago, IL
  • NPI 1093374878
  NPD (past)
• Kelly Laporte, M.A, L.P.C., C.A.D.C

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1235408618
  NPD (past)
• Alexis G Murray-Golay, LCPC

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1801804190
  NPD (past)
• Laura V Obrien, OTR/L

  • Pediatric Occupational Therapist
  • Park Ridge, IL
  • NPI 1093094450
  NPD (past)
• Kelsey Romanoff, LCPC

  • Mental Health Counselor
  • Naperville, IL
  • NPI 1407391220
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1366557977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684059",
            "telephone_number": "847-692-6692",
            "fax_number": "847-496-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684059",
            "telephone_number": "847-692-6692",
            "fax_number": "847-496-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE PSYCHOLOGICAL SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PATERNO",
        "authorized_official_first_name": "DATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-692-6692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paterno & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park Ridge Multi-Med, S.C.
• Park Ridge North Suburban Vision Consultants LLC (North Suburban Vision Consultants-Park Ridge)
• Park Ridge Pediatrics PC
• Park Ridge Periodontics, Inc.
• Park Ridge Physical Therapy Clinic PC
• Park Ridge Psychotherapy and Counseling Services, Inc.
• Park Ridge Service Corporation (Olympia Physical Therapy)
• Park Ridge Skilled Nursing Facility LLC (Harmony Park Ridge)
• Park Ridge Speech Therapy LLC
• Park Ridge Vision LLC (Park Ridge Vision)

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.