NPIMap

Organization Active NPI

Sheldon Cotler Et Al PTR North Shore Consultation Center

  • Psychologist
  • Northbrook, IL
National Provider Identifier
1669650578
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SHELDON COTLER ET AL PTR NORTH SHORE CONSULTATION CENTER
Practice address
1535 Lake Cook Rd
Suite #111
Northbrook, IL 60062-1450
Phone
(847) 498-4744
Fax
(847) 498-4811
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Robert L Davenport, PHDNPI 1902855356
Title
Partner
Phone
(847) 498-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1535 Lake Cook Rd
Suite #111
Northbrook, IL 60062-1450

Mailing address

1535 Lake Cook Rd
Suite #111
Northbrook, IL 60062-1450
Phone (847) 498-4744

National Provider Directory

National Provider Directory

Locations

1535 Lake Cook Rd
Ste 111
Northbrook, IL 60062
Phone (847) 498-4744

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1669650578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD",
            "address_2": "SUITE #111",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621450",
            "telephone_number": "847-498-4744",
            "fax_number": "847-498-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD",
            "address_2": "SUITE #111",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621450",
            "telephone_number": "847-498-4744",
            "fax_number": "847-498-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON COTLER ET AL PTR NORTH SHORE CONSULTATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-498-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.