Jody K Rotblatt, M.S.W. , PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008109 Issued in IL

Practice address

420 Lake Cook Rd Ste 113
Deerfield, IL 60015

Phone

(847) 323-8189

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1508083510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LAKE COOK RD STE 113",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154914",
            "telephone_number": "847-323-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LAKE COOK RD STE 113",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "847-323-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTBLATT",
        "first_name": "JODY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.S.W. , PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003472",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Rosenblum, LCSW
• Karlyn Rosenstiel, DPM
• Kristi Roser
• Robin S. Ross, PH.D.
• Kelly R Roszczybiuk, DPT
• Jason Rubin, RPH
• Sandra Ruggles, LCPC
• Julia Rugletic, MS, LPC
• Alan Ruiz
• Rush-Select Holdings, LLC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.