Active NPI
Ruth M Rattenbury Psy D PC
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1790868586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- RUTH M RATTENBURY PSY D PC
- Practice address
- 600 Davis St
Suite 3E
Evanston, IL 60201-4488 - Phone
- (847) 644-3284
- Fax
- (847) 328-4838
- NPI assigned
- Oct 23, 2006
- 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. Ruth M Rattenbury, PSY.D.
- Title
- President Clinical Psychologist
- Phone
- (847) 644-3284
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
600 Davis St
Suite 3E
Evanston, IL 60201-4488
Mailing address
600 Davis St
Suite 3E
Evanston, IL 60201-4488
Phone (847) 644-3284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9933 S Western Ave
Ste 203
Chicago, IL 60643
Phone (312) 730-3966
600 Davis St
Ste 3E
Evanston, IL 60201
Phone (847) 424-1241
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Evanston, IL
- NPI 1609910264
-
- Psychiatry Physician
- Lynwood, IL
- NPI 1003912601
-
- Clinical Social Worker
- Evergreen Park, IL
- NPI 1356416689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790868586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 DAVIS ST",
"address_2": "SUITE 3E",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014488",
"telephone_number": "847-644-3284",
"fax_number": "847-328-4838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 DAVIS ST",
"address_2": "SUITE 3E",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014488",
"telephone_number": "847-644-3284",
"fax_number": "847-328-4838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTH M RATTENBURY PSY D PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RATTENBURY",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "847-644-3284",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.