Active NPI
Collaborative Therapy Partners, PC Inc.
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1679719553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006054
- Legal business name
- COLLABORATIVE THERAPY PARTNERS, PC INC.
- Practice address
- 719 Main St
2ND Floor
Evanston, IL 60202-1701 - Phone
- (847) 492-8414
- NPI assigned
- Dec 26, 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. Susan Alterman, PSY.D.
- Title
- President
- Phone
- (847) 492-8414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071006054 | IL | Primary |
Addresses
Primary practice location
719 Main St
2ND Floor
Evanston, IL 60202-1701
Mailing address
719 Main St
2ND Floor
Evanston, IL 60202-1701
Phone (847) 492-8414
National Provider Directory
National Provider DirectoryLocations
719 Main St
#2
Evanston, IL 60202
Phone (847) 492-8232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230249600000",
"number": "1679719553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 MAIN ST",
"address_2": "2ND FLOOR",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021701",
"telephone_number": "847-492-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 MAIN ST",
"address_2": "2ND FLOOR",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021701",
"telephone_number": "847-492-8414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLABORATIVE THERAPY PARTNERS, PC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-26",
"last_updated": "2008-12-26",
"status": "A",
"authorized_official_last_name": "ALTERMAN",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-492-8414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.