Active NPI
Hattie Stein, RBT, 18-64500
- Behavior Technician
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-64500
- Practice address
- 5 Revere Dr Ste 120
Northbrook, IL 60062-8005 - Phone
- (847) 306-9843
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-64500 | IL | Primary |
Addresses
Primary practice location
5 Revere Dr Ste 120
Northbrook, IL 60062-8005
Mailing address
5 Revere Dr Ste 120
Northbrook, IL 60062-8005
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240321002022 | IL | Practitioner - Clinical Social Worker | 9234576687 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-64500 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Current | Accepting new patients | |
| Thrive Counseling Center | Current | Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients |
Locations
808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007
1 E Erie St
Ste 520
Chicago, IL 60611
Phone (312) 761-4726
500 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 761-4755
3027 English Rows Ave
Ste 201
Naperville, IL 60564
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
120 S Marion St
Oak Park, IL 60302
Phone (708) 383-7500
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/thrivecc/r4/
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Park, IL
- NPI 1467586669
-
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1447733688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 REVERE DR STE 120",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600628005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 REVERE DR STE 120",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600628005",
"telephone_number": "847-306-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "HATTIE",
"credential": "RBT, 18-64500",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-18-64500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.