DR. JOHN BARTOK (NPI# 1639215460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639215460 |
| Entity Type | Individual |
| Full Name | DR. JOHN BARTOK |
| Credential | PH.D. |
| Practice Address |
899 Skokie Blvd Suite 230 Northbrook IL 60062-4019 |
| Mailing Address |
910 Forest Ave Deerfield IL 60015-2919 |
| Practice Telephone | 8477149492 |
| Mailing Telephone | 8477149494 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | IL | Behavioral Health & Social Service Providers |
| Street Address |
899 SKOKIE BLVD SUITE 230 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120655 | Jaime Lenhart | Social Worker | 899 Skokie Blvd, Northbrook, IL 60062-4019 | 2020-09-28 |
| 1700337037 | Carly Walder, Psy.d., LLC | Psychologist | 899 Skokie Blvd, Suite 204, Northbrook, IL 60062-4019 | 2016-10-21 |
| 1659685154 | Carly Walder | Psychologist | 899 Skokie Blvd, Suite 204, Northbrook, IL 60062-4019 | 2010-07-27 |
| 1215182548 | Genevieveconkeythorntonllc | Psychologist | 899 Skokie Blvd, 204, Northbrook, IL 60062-4019 | 2008-12-01 |
| 1093993529 | Todd Kestin | Social Worker | 899 Skokie Blvd, Suite 204, Northbrook, IL 60062-4019 | 2008-02-06 |
| 1730373382 | The Chicago Stress Relief Center, Inc | Psychologist | 899 Skokie Blvd, Ste 430, Northbrook, IL 60062-4019 | 2007-08-28 |
| 1790903102 | Rory Gilbert Lcsw Cadc Ltd | Social Worker | 899 Skokie Blvd, Suite 430, Northbrook, IL 60062-4019 | 2007-04-23 |
| 1093938425 | James R. Sands | Psychologist | 899 Skokie Blvd, Suite 230, Northbrook, IL 60062-4019 | 2007-04-11 |
| 1053534214 | Mary F. Fisher | Psychologist | 899 Skokie Blvd, Suite 328, Northbrook, IL 60062-4019 | 2007-04-10 |
| 1992836563 | Mind for Health Resources, Ltd. | Psychologist | 899 Skokie Blvd, Suite 304, Northbrook, IL 60062-4019 | 2007-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760615645 | Steven E. Rothke, Ph.d., PC | Clinical Neuropsychologist | 3710 Commercial Ave, Suite 1, Northbrook, IL 60062-1831 | 2009-08-26 |
| 1770633430 | Steven E Rothke | Clinical Neuropsychologist | 450 Skokie Boulevard, Suite 602, Northbrook, IL 60062-7914 | 2007-01-12 |
| 1003343872 | Child and Family Psychiatric Center LLC | Clinical Neuropsychologist | 1450 Techny Rd, Northbrook, IL 60062-5447 | 2017-05-11 |
| 1578890018 | Kathleen Marie Nugent | Clinical Neuropsychologist | 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 | 2009-11-04 |
| 1861442345 | Michael J Di Domenico | Clinical Neuropsychologist | 1535 Lake Cook Rd, Suite 306, Northbrook, IL 60062-1447 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183556 | Michelle Yvonne Kibby-faglier | Clinical Neuropsychologist | 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 | 2020-01-17 |
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1043877475 | Sarah Mailander Dyer | Clinical Neuropsychologist | 900 Royal Heights Rd Ste 14, Belleville, IL 62226-5457 | 2019-05-21 |
| 1639655632 | Julia Digangi | Clinical Neuropsychologist | 920 N York Rd, Hinsdale, IL 60521-2996 | 2018-07-13 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1538690466 | Kathleen Ares | Clinical Neuropsychologist | 4440 W 95th, Suite 1200h, Oak Lawn, IL 60453 | 2017-03-22 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1013462829 | Ann Westcot Jordan | Clinical Neuropsychologist | 21037 Benjamin Dr, Shorewood, IL 60404-0612 | 2016-08-22 |
| 1740638915 | Elizabeth Regina Tuminello Hartman | Clinical Neuropsychologist | 1875 Dempster St Ste 520, Park Ridge, IL 60068-1130 | 2016-05-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.