Elizabeth M. Bolash, Psy.D., PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELIZABETH M. BOLASH, PSY.D., PC

Practice address

115 S Wilke Rd
Suite 300
Arlington Heights, IL 60005-1532

Phone

(847) 259-2020

Fax

(847) 259-2078

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth M Bolash, PSY.D.NPI 1841239043

Title

Psychologist

Phone

(847) 259-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth M Bolash, PSY.D.

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1841239043
  Medicare reassignment Authorized official
• Karen Rambo Chroniak, PHD

  • Psychologist
  • Chicago, IL
  • NPI 1194813139
  NPD (past)
• Bonnie Joyce Koss, LCSW

  • Clinical Social Worker
  • Arlington Heights, IL
  • NPI 1548394281
  NPD (past)
• Cecile M Petermann, LPC

  • Professional Counselor
  • Arlington HTS, IL
  • NPI 1144466228
  NPD (past)
• Anne G. Walker, LCSW

  • Clinical Social Worker
  • Palatine, IL
  • NPI 1043293293
  NPD (past)
• Harvey M. Wolf, PSY.D.

  • Clinical Psychologist
  • Arlington HTS, IL
  • NPI 1639252612
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437104403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S WILKE RD",
            "address_2": "SUITE 300",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051532",
            "telephone_number": "847-259-2020",
            "fax_number": "847-259-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S WILKE RD",
            "address_2": "SUITE 300",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051532",
            "telephone_number": "847-259-2020",
            "fax_number": "847-259-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH M. BOLASH, PSY.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLASH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-259-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asim Elsayed Eladl, PT, DPT
• Jency Marian Elakkatt, O.D.
• Susan Debra Elbaum, MD
• Elevate Physical Therapy Inc.
• Elite Dental Partners, LLC
• Elk Grove Rural Fire Protection District
• Ellen Kraemer
• Cailie Emmerich, LCPC
• Empathy First Psychological Services, PLLC
• Empowered Families Chiropractic, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.