Elaine M Bochenek, PSYD
Individual provider Active NPI Clinical Psychologist · Dixon, IL
NPI 1376521088 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1376521088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Practice address
- 115 W First St
Ste 250
Dixon, IL 61021-3064 - Phone
- (815) 285-8394
- NPI assigned
- Jan 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110119000685 | IL | Practitioner - Clinical Psychologist | 5496934739 | Practice locations: Dixon, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Yes |
Addresses
Primary practice location
115 W First St
Ste 250
Dixon, IL 61021-3064
Mailing address
PO Box 164
Dixon, IL 61021
Phone (815) 285-8394
Other providers in Dixon, IL
- Nicole L Bleuer
- Brittany Blevins
- Bloom Space Counseling, PLLC
- Sarah Bloyd
- Kiana Bluhm
- Robert Joseph Boers
- Courtney Bond
- Stacey Marie Bontz
- Alison Boothe
- Amy Jean Boss
All providers in Dixon, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.