NPIMap

Organization Active NPI

Paulette Toburen PSYD Inc

  • Clinical Psychologist
  • Elmhurst, IL
National Provider Identifier
1114228319
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004879 Issued in IL
Legal business name
PAULETTE TOBUREN PSYD INC
Practice address
180 W Park Ave
Suite 130
Elmhurst, IL 60126-3357
Phone
(630) 917-3369
Fax
(630) 530-4321
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paulette Toburen, PSY.D.
Title
Clinical Psychologist
Phone
(630) 917-3369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071004879 IL Primary

Addresses

Primary practice location

180 W Park Ave
Suite 130
Elmhurst, IL 60126-3357

Mailing address

225 E Lexington St
Elmhurst, IL 60126-5335
Phone (630) 917-3369

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1114228319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E LEXINGTON ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265335",
            "telephone_number": "630-917-3369",
            "fax_number": "630-530-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W PARK AVE",
            "address_2": "SUITE 130",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263357",
            "telephone_number": "630-917-3369",
            "fax_number": "630-530-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE TOBUREN PSYD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "TOBUREN",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-917-3369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.