Bodh Center for Wellness

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BODH CENTER FOR WELLNESS

Practice address

2150 E Lake Cook Rd FL 9
Buffalo Grove, IL 60089-1862

Phone

(630) 828-6867

Fax

(630) 293-5814

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Divya Jain, PSY.D.NPI 1326620642

Title

Founder

Phone

(630) 828-6867

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Divya Jain, PSY.D.

  • Psychologist
  • Buffalo Grove, IL
  • NPI 1326620642
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1255900411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 OLIVE HILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894644",
            "telephone_number": "630-828-6867",
            "fax_number": "630-293-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E LAKE COOK RD FL 9",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891862",
            "telephone_number": "630-828-6867",
            "fax_number": "630-293-5814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2063 Olive Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600894644",
            "country_code": "US",
            "telephone_number": "630-828-6867",
            "fax_number": "630-293-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODH CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "630-828-6867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reena V Blesson, APN-CNP
• Devon Michelle Block, LCPC
• Felice Lewin Block, LCPC
• Robert J Blumenthal, DMD
• Maryann Bobek, PHARMD
• Laura Elizabeth Boe-Knoll, AU.D.
• Colin Boland, BFA
• Loretta Borawski, O.D.
• Emmanuel Bote, PHARMD
• Katharine Laine Boyes, M.S., CCC-SLP/L

• Clinical Psychologist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.