Active NPI
Steven E. Rothke, PH.D., PC
- Clinical Neuropsychologist
- Northbrook, IL
National Provider Identifier
1760615645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 071-003201
- Legal business name
- STEVEN E. ROTHKE, PH.D., PC
- Practice address
- 3710 Commercial Ave
Suite 1
Northbrook, IL 60062-1831 - Phone
- (847) 480-5744
- Fax
- (847) 480-5755
- NPI assigned
- Aug 26, 2009
- 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. Steven E Rothke, PH.D.
- Title
- Consulting Psychologist
- Phone
- (847) 480-5744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 071-003201 | IL | Primary |
Addresses
Primary practice location
3710 Commercial Ave
Suite 1
Northbrook, IL 60062-1831
Mailing address
3710 Commercial Ave
Suite 1
Northbrook, IL 60062-1831
Phone (847) 480-5744
National Provider Directory
National Provider DirectoryLocations
3710 Commercial Ave
Ste 1
Northbrook, IL 60062
Phone (847) 302-5860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Northbrook, IL
- NPI 1821351073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251244800000",
"number": "1760615645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 COMMERCIAL AVE",
"address_2": "SUITE 1",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621831",
"telephone_number": "847-480-5744",
"fax_number": "847-480-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 COMMERCIAL AVE",
"address_2": "SUITE 1",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621831",
"telephone_number": "847-480-5744",
"fax_number": "847-480-5755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN E. ROTHKE, PH.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A",
"authorized_official_last_name": "ROTHKE",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CONSULTING PSYCHOLOGIST",
"authorized_official_telephone_number": "847-480-5744",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": "071-003201",
"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 Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.