Active NPI
John Kenneth Schlesinger, PSYD
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1467611285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007458
- Practice address
- 636 Church St
Suite 719
Evanston, IL 60201-4508 - Phone
- (773) 216-1701
- Fax
- (773) 857-1327
- NPI assigned
- Jun 6, 2008
- Last updated
- Aug 30, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071007458 | IL | Primary |
Addresses
Primary practice location
636 Church St
Suite 719
Evanston, IL 60201-4508
Mailing address
636 Church St
Suite 719
Evanston, IL 60201-4508
Phone (773) 216-1701
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marlin C Hoover PHD PC | Clinical | Past | Accepting new patients |
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": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220054400000",
"number": "1467611285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 CHURCH ST",
"address_2": "SUITE 719",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014508",
"telephone_number": "773-216-1701",
"fax_number": "773-857-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 CHURCH ST",
"address_2": "SUITE 719",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014508",
"telephone_number": "773-216-1701",
"fax_number": "773-857-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLESINGER",
"first_name": "JOHN",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2008-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.