MICHAEL J BALTHAZOR PH.D.
NPI 1386882793
Psychologist - Clinical in Skokie, IL

Q: What is Michael Balthazor's NPI number?

The NPI number for Michael Balthazor is 1386882793. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Q: What is Michael Balthazor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Balthazor was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since January 23, 2009

4711 GOLF RD, SUITE 1100, SKOKIE, IL 60076(847) 933-9339(847) 933-0874 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael J Balthazor Ph.d. NPPES

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

MICHAEL J BALTHAZOR PH.D. (NPI 1386882793) is an individual clinical provider in Skokie, Illinois, licensed in Illinois (071-006684) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1386882793

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMICHAEL J BALTHAZORCredential: PH.D.

Location Address4711 GOLF RD, SUITE 1100Skokie, IL 60076-1224

Mailing Address4711 Golf Rd, Suite 1100Skokie, IL 60076-1224 · (847) 933-9339 · Fax (847) 933-0874

Phone(847) 933-9339

Fax(847) 933-0874

Sole ProprietorNo

Enumeration DateJanuary 23, 2009

✔ NPI 1386882793 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 · 071-006684

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.

4711 GOLF RD, Skokie, IL 60076

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Other Providers at the Same Location NPPES 20

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

CYNTHIA SUAREZ EUDY LCSW PC

Clinic/Center (Mental Health (Including Community Mental Health Center))

4711 GOLF RD
SKOKIE, IL 60076

Cook County (773) 502-8653

DEMPSTER MEDICAL & CHIROPRACTIC CLINIC SC

Chiropractor

4711 GOLF RD, SUITE 413
SKOKIE, IL 60076

Cook County (847) 673-5080

SARA F BROWN M.A., CCC-SLP

Speech-Language Pathologist

4711 GOLF RD, SUITE 1100
SKOKIE, IL 60076

Cook County (847) 933-9339

MRS. NISHA MODY MALAVIA MA CF-SLP

Speech-Language Pathologist

4711 GOLF RD, SUITE 100
SKOKIE, IL 60076

Cook County (847) 679-8635

RACHEL BROWN PA-C

Physician Assistant

4711 GOLF RD, SUITE 1200
SKOKIE, IL 60076

Cook County (847) 563-4488

BAEHR & BAEHR, LTD.

Clinic/Center

4711 GOLF RD, SUITE 414
SKOKIE, IL 60076

Cook County (847) 674-8060

BRAIN AND PSYCHOLOGY LLC

Psychologist (Clinical)

4711 GOLF RD, SUITE 400
SKOKIE, IL 60076

Cook County (312) 467-2257

MRS. KRISTINE MULINGBAYAN NP-C

Nurse Practitioner (Adult Health)

4711 GOLF RD, SUITE 807
SKOKIE, IL 60076

Cook County (847) 677-7502

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 Michael Balthazor's NPI number?

The NPI number for Michael Balthazor is 1386882793. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Michael Balthazor located?

Michael Balthazor practices at 4711 Golf Rd Suite 1100, Skokie, IL 60076. The listed phone number is (847) 933-9339.

What is Michael Balthazor's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Balthazor was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.