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BOULES CLINICAL PSYCHOLOGY GROUP NPI 1831703271


NPI Information

NPI: 1831703271
Provider Name: BOULES CLINICAL PSYCHOLOGY GROUP
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
200 S FRONTAGE RD STE 324
BURR RIDGE, IL
ZIP 60527
Phone: (630) 321-9809
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BOULES CLINICAL PSYCHOLOGY GROUP is a prescribing (medical) psychologist in Burr Ridge, IL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. BOULES CLINICAL PSYCHOLOGY GROUP NPI is 1831703271. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

200 S FRONTAGE RD STE 324
BURR RIDGE, IL
ZIP 60527-953
Phone: (630) 321-9809
Fax: (630) 537-1550

The provider's authorized official is Gretchen Boules .
The authorized official title is Ceo, Clinical Psychologist and has the following contact phone number (630) 321-9809.

The enumeration date for this NPI number is 9/2/2020 and was last updated on 2/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2251S00000XCommunity/Behavioral HealthNo
3103TP0016XPsychologistPrescribing (Medical)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.