Individual provider Active NPI

Steven E Rothke, PH.D.

  • Forensic Psychologist
  • Northbrook, IL
National Provider Identifier
1770633430
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
071-003201ILMDForensic 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

Verify at the official NPI Registry.