Individual provider Active NPI

Peter Platten, PHD

  • School Psychologist
  • Chicago, IL
National Provider Identifier
1699394890
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
4765 N Lincoln Ave Ste 209
Chicago, IL 60625-2077
Phone
(714) 719-6740
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X
Clinical Child & Adolescent Psychologist 103TC2200X
School Psychologist 103TS0200X Primary

Addresses

Primary practice location

4765 N Lincoln Ave Ste 209
Chicago, IL 60625-2077

Mailing address

4765 N Lincoln Ave Ste 209
Chicago, IL 60625-2077
Phone (714) 719-6740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Platten PLLC Clinical Child & Adolescent CurrentSince Jan 1, 2024 Accepting new patients

Locations

4765 N Lincoln Ave
Ste 209
Chicago, IL 60625
Phone (714) 719-6740

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1699394890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 N LINCOLN AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252077",
            "telephone_number": "714-719-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 N LINCOLN AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252077",
            "telephone_number": "714-719-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATTEN",
        "first_name": "PETER",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.