Individual provider Active NPI

Michael John Clatch, PSY. D.

  • Clinical Psychologist
  • Glenview, IL
National Provider Identifier
1720425044
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008602 Issued in IL
Practice address
2400 Ravine Way
Suite 600
Glenview, IL 60025-7652
Phone
(847) 730-3042
Fax
(847) 730-3382
NPI assigned
May 28, 2013
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008602 IL Primary

Addresses

Primary practice location

2400 Ravine Way
Suite 600
Glenview, IL 60025-7652

Mailing address

2400 Ravine Way Ste 600
Glenview, IL 60025-7615
Phone (847) 730-3042

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.008602ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Courage to Connect Therapeutic Center Clinical CurrentSince Nov 24, 2025 Accepting new patients

Locations

2400 Ravine Way
Ste 600
Glenview, IL 60025
Phone 8477303042 ext. 6450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1720425044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 RAVINE WAY STE 600",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257615",
            "telephone_number": "847-730-3042",
            "fax_number": "847-904-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RAVINE WAY",
            "address_2": "SUITE 600",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257652",
            "telephone_number": "847-730-3042",
            "fax_number": "847-730-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLATCH",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.