Elaine Rosenblatt

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Practice address

5058 Elm Street
Skokie, IL 60077-2552

Phone

(847) 674-6376

Fax

(847) 674-6376

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1497963466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 ELM STREET",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772552",
            "telephone_number": "847-674-6376",
            "fax_number": "847-674-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 ELM STREET",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772552",
            "telephone_number": "847-674-6376",
            "fax_number": "847-674-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "ELAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sy H Rosen, C.O.
• Thomas M Rosen, PA-C
• Warren D. Rosen, PH.D.
• Michael Perry Rosenbaum, MD
• David Richard Rosenblatt, LCSW
• Yonatan Rosenblum, PSYD
• Daniel A Rosenthal, MD
• Susan Fink Rosenthal, M.D.
• Samantha Ly Rosero
• Rosin Optical Co. Inc. (Skokie Optical)

• Group Psychotherapy Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Group Psychotherapy Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.