Individual provider Active NPI

Stephanie Gorbold

  • Behavior Analyst
  • Bolingbrook, IL
National Provider Identifier
1619225547
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Gorbold Behavioral Consulting, Inc. Behavior Analyst CurrentSince Jan 29, 2023 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.

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.

Verify at the official NPI Registry.