Individual provider Active NPI

John Edward Noto Jr., PH.D.

  • Clinical Psychologist
  • Forest Park, IL
National Provider Identifier
1740215847
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
8311 Roosevelt Rd
Suite 100
Forest Park, IL 60130-2529
Phone
(708) 366-5555
NPI assigned
Jul 11, 2006
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X IL
Clinical Psychologist 103TC0700X IL Primary
Clinical Child & Adolescent Psychologist 103TC2200X IL

Addresses

Primary practice location

8311 Roosevelt Rd
Suite 100
Forest Park, IL 60130-2529

Mailing address

3304 N Broadway St
Suite 170
Chicago, IL 60657-3517
Phone (224) 715-4542

Other identifiers 1

IdentifierTypeStateIssuer
0617100620OtherILBLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000346 IL Practitioner - Clinical Psychologist 1254430622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stillpoint Mental Health Associates SCGroup PAC ID 5991795189, 8 clinicians

Practice addresses (Care Compare)

201 E Ogden Ave
Hinsdale, IL 60521-3655
Phone 6303258893111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillpoint Mental Health Associates, S.C. CurrentSince Jul 1, 2017 Accepting new patients
Aspen Behavioral Care Clinical PastSince Jul 31, 2013 Accepting new patients
Associates in Behavioral Science, LTD. Clinical Past Accepting new patients
Stillpoint Mental Health Associates, SC Past Accepting new patients

Locations

201 E Ogden Ave
Ste 1
Hinsdale, IL 60521

201 E Ogden Ave
Ste 116
Hinsdale, IL 60521
Phone (630) 325-8893

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1740215847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 N BROADWAY ST",
            "address_2": "SUITE 170",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573517",
            "telephone_number": "224-715-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 ROOSEVELT RD",
            "address_2": "SUITE 100",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302529",
            "telephone_number": "708-366-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTO",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "0617100620",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

Verify at the official NPI Registry.