Active NPI
Stephanie Gorbold
- Behavior Analyst
- Bolingbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 484 W Boughton Rd Ste C
Bolingbrook, IL 60440-2478 - Phone
- (312) 882-1024
- Fax
- (312) 488-3663
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
484 W Boughton Rd Ste C
Bolingbrook, IL 60440-2478
Mailing address
1650 N Randall Rd Ste 110
Aurora, IL 60506-1036
Phone (312) 882-1024
Other practice location 1
109 Royce Rd Ste A
Bolingbrook, IL 60440-1405
Phone (312) 882-1024
Other practice location 2
2108 W North Ave
Unit BS
Chicago, IL 60647-5436
Phone (949) 300-0193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gorbold Behavioral Consulting, Inc. | Behavior Analyst | Current | Accepting new patients |
Locations
1650 N Randall Rd
Ste 110
Aurora, IL 60506
109 Royce Rd
Ste A
Bolingbrook, IL 60440
Phone (312) 882-1024
484 W Boughton Rd
Ste C
Bolingbrook, IL 60440
Phone (312) 858-8562
706 Oglesby Ave
Ste 200
Normal, IL 61761
Phone (309) 585-2857
8500 N Knoxville Ave
Ste A
Peoria, IL 61615
Phone (312) 882-1024
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Bolingbrook, IL
- NPI 1841606811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1619225547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 N RANDALL RD STE 110",
"city": "AURORA",
"state": "IL",
"postal_code": "605061036",
"telephone_number": "312-882-1024",
"fax_number": "312-488-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 W BOUGHTON RD STE C",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402478",
"telephone_number": "312-882-1024",
"fax_number": "312-488-3663"
}
],
"practiceLocations": [
{
"address_1": "109 Royce Rd Ste A",
"address_purpose": "LOCATION",
"city": "Bolingbrook",
"state": "IL",
"postal_code": "604401405",
"country_code": "US",
"telephone_number": "312-882-1024",
"fax_number": "312-488-3663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2108 W North Ave",
"address_2": "Unit BS",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606475436",
"country_code": "US",
"telephone_number": "949-300-0193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORBOLD",
"first_name": "STEPHANIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.