Individual provider Active NPI

Claudio G Altman, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1396035200
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008349 Issued in IL
Practice address
4256 N. Mozart St.
Apartment #3N
Chicago, IL 60618-1586
Phone
(773) 414-0115
NPI assigned
Apr 12, 2011
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 071.008349 IL Primary

Addresses

Primary practice location

4256 N. Mozart St.
Apartment #3N
Chicago, IL 60618-1586

Mailing address

4611 N Ravenswood Ave Ste 105
Chicago, IL 60640-7569
Phone (773) 414-0115

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
I20260615001023 IL Practitioner - Clinical Psychologist 9436621174 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1080 Halifax Dr
Troy, OH 45373-1408

4611 N Ravenswood Ave
Suite 105
Chicago, IL 60640-7569
Phone (773) 414-0115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.008349ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ravenswood Counseling Center Co CurrentSince Jul 25, 2021 Accepting new patients

Locations

4611 N Ravenswood Ave
Ste 105
Chicago, IL 60640
Phone (773) 201-0060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1396035200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 N RAVENSWOOD AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407569",
            "telephone_number": "773-414-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 N. MOZART ST.",
            "address_2": "APARTMENT #3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181586",
            "telephone_number": "773-414-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "CLAUDIO",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.