Individual provider Active NPI

Jonathan M Sutton, PHD

  • Cognitive & Behavioral Psychologist
  • Evanston, IL
National Provider Identifier
1396973467
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Practice address
1507 Oak Ave
Apt. 2W
Evanston, IL 60201-4215
Phone
(847) 864-2337
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X Primary

Addresses

Primary practice location

1507 Oak Ave
Apt. 2W
Evanston, IL 60201-4215

Mailing address

1507 Oak Ave
Apt. 2W
Evanston, IL 60201-4215
Phone (847) 864-2337

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
I20200302000004 IL Practitioner - Clinical Psychologist 3870739725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Family InstituteGroup PAC ID 1052460466, 8 clinicians

Practice addresses (Care Compare)

666 Dundee Rd
Suite 1501
Northbrook, IL 60062-2737
Phone (847) 733-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Institute CurrentSince Jan 20, 2020 Accepting new patients

Locations

618 Library Pl
Evanston, IL 60201
Phone (312) 609-5300

666 Dundee Rd
Ste 1501
Northbrook, IL 60062
Phone (847) 733-4300

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1396973467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 OAK AVE",
            "address_2": "APT. 2W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014215",
            "telephone_number": "847-864-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 OAK AVE",
            "address_2": "APT. 2W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014215",
            "telephone_number": "847-864-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.