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DR. GEOFFREY J BATHJE PHD
NPI 1063853307
Psychologist - Clinical in Chicago, IL

Active since July 15, 2013Opted out of Medicare · through May 5, 2027
3324 W NORTH AVE, CHICAGO, IL 60647(312) 291-1978 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Geoffrey J Bathje Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GEOFFREY J BATHJE PHD (NPI 1063853307) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (003125963) and active in the NPI registry since July 2013. He has opted out of Medicare through May 5, 2027.

NPPES Registry Identity

NPI1063853307
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GEOFFREY J BATHJECredential: PHD
Location Address3324 W NORTH AVEChicago, IL 60647-4935
Mailing Address940 Holbrook Rd Apt 30aHomewood, IL 60430-4529 · (312) 291-1978
Phone(312) 291-1978
Sole ProprietorYes
Enumeration DateJuly 15, 2013
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1063853307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 003125963
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3324 W NORTH AVE, Chicago, IL 60647
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Geoffrey J Bathje Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 5, 2025 through May 5, 2027.

Opt-Out Effective DateMay 5, 2025
Opt-Out In Effect ThroughMay 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VILMARIE FRAGUADA NARLOCH PSYD
Psychologist (Clinical)
3324 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 312-3768

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geoffrey Bathje's NPI number?

The NPI number for Geoffrey Bathje is 1063853307. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Geoffrey Bathje located?

Geoffrey Bathje practices at 3324 W North Ave, Chicago, IL 60647. The listed phone number is (312) 291-1978.

What is Geoffrey Bathje's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Geoffrey Bathje enrolled in Medicare?

No. Geoffrey Bathje has opted out of Medicare through May 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Geoffrey Bathje was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.