Edward Harold Patzelt, PHD
Individual provider Active NPI Clinical Psychologist · Riverwoods, IL
NPI 1639725831 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1639725831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071010492 (IL)
- Practice address
- 302 Saunders Rd Ste 200
Riverwoods, IL 60015-3897 - Phone
- (651) 315-3410
- NPI assigned
- Aug 13, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071010492 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patzelt Psychology PLLC | Current | Accepting new patients | |
| Mentalizing Minds PLLC | Current | Accepting new patients |
Locations
302 Saunders Rd
Ste 200
Riverwoods, IL 60015
Phone (651) 315-3410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071010492 | IL | Yes |
Addresses
Primary practice location
302 Saunders Rd Ste 200
Riverwoods, IL 60015-3897
Mailing address
302 Saunders Rd Ste 200
Riverwoods, IL 60015-3897
Other providers in Riverwoods, IL
- Richard W Olsen
- Jackie Olson
- Elzbieta M Pamula
- Satnam K Papa
- Patzelt Psychology PLLC
- Michael Peklin
- Jessica Quezada
- Margaret Rafalko
- Rah OD
- Stephanie Natalie Rehani
All providers in Riverwoods, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.