Active NPI
Steven E Rothke, PH.D.
- Forensic Psychologist
- Northbrook, IL
National Provider Identifier
1770633430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- Practice address
- 450 Skokie Boulevard
Suite 602
Northbrook, IL 60062-7914 - Phone
- (847) 480-5744
- Fax
- (847) 480-5755
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | IL | ||
| Forensic Psychologist | 103TF0200X | IL | Primary |
Addresses
Primary practice location
450 Skokie Boulevard
Suite 602
Northbrook, IL 60062-7914
Mailing address
450 Skokie Boulevard
Suite 602
Northbrook, IL 60062-7914
Phone (847) 480-5744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 23, 2017 through Feb 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-003201 | IL | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770633430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SKOKIE BOULEVARD",
"address_2": "SUITE 602",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627914",
"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": "450 SKOKIE BOULEVARD",
"address_2": "SUITE 602",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627914",
"telephone_number": "847-480-5744",
"fax_number": "847-480-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHKE",
"first_name": "STEVEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "IL",
"license": null,
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.