Mario B. Natta, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005027 Issued in IL

Practice address

910 Skokie Blvd
Suite 101
Northbrook, IL 60062-4032

Phone

(847) 480-1350

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Kollmorgen & Natta, P.C.

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1346427481
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1487785168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD",
            "address_2": "SUITE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624032",
            "telephone_number": "847-480-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD",
            "address_2": "SUITE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624032",
            "telephone_number": "847-480-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATTA",
        "first_name": "MARIO",
        "middle_name": "B.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER ID",
            "identifier": "21620045",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oscar A Narvaez
• Ronald Nasadowski, DPM
• Natalia Kaczmarek LLC
• Natalia Kaczmarek PLLC
• Jeffrey Nathanson, MD
• Victoria Elaine Navarette
• Isabel Inez Navarro, M.S.
• Megan Navarro
• Nkem Ndem
• Patrick Wanyoike Ndungu, PHARMD

• Clinical Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.