Active NPI
Psychoeducational Resource Services
- School Psychologist
- Skokie, IL
National Provider Identifier
1578714499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1683662
- Legal business name
- PSYCHOEDUCATIONAL RESOURCE SERVICES
- Practice address
- 5225 Old Orchard Rd
26A
Skokie, IL 60077-4405 - Phone
- (847) 508-7846
- NPI assigned
- Oct 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter B. Rastrelli, ED.D.
- Title
- President/Psychologist
- Phone
- (847) 508-7846
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1683662 | IL | Primary |
| School Psychologist | 103TS0200X | 1691243 | IL |
Addresses
Primary practice location
5225 Old Orchard Rd
26A
Skokie, IL 60077-4405
Mailing address
5225 Old Orchard Rd
26A
Skokie, IL 60077-4405
Phone (847) 508-7846
Other names 1
- PRS, Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1578714499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD RD",
"address_2": "26A",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774405",
"telephone_number": "847-508-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD RD",
"address_2": "26A",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774405",
"telephone_number": "847-508-7846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOEDUCATIONAL RESOURCE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "RASTRELLI",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
"authorized_official_telephone_number": "847-508-7846",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D."
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "IL",
"license": "1683662",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "IL",
"license": "1691243",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PRS, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.