Provider Demographics
NPI:1235283037
Name:ATKINS, SYLVIA ANNE
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ANNE
Last Name:ATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:SYLVIA
Other - Middle Name:ANNE
Other - Last Name:KLATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:1660 FEEHANVILLE DR
Mailing Address - Street 2:STE 400
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-6036
Mailing Address - Country:US
Mailing Address - Phone:847-981-9200
Mailing Address - Fax:847-981-9322
Practice Address - Street 1:825 E GOLF RD
Practice Address - Street 2:SUITE 1127 BARNES AND KLATT PC
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:847-981-9200
Practice Address - Fax:847-981-9322
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071005417103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILL79563Medicare ID - Type Unspecified