NPIMap

Organization Active NPI

Boules Clinical Psychology Group

  • Prescribing (Medical) Psychologist
  • Burr Ridge, IL
National Provider Identifier
1831703271
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
BOULES CLINICAL PSYCHOLOGY GROUP
Practice address
200 S Frontage Rd Ste 324
Burr Ridge, IL 60527-6953
Phone
(630) 321-9809
Fax
(630) 537-1550
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Gretchen Boules, PSYDNPI 1710082474
Title
Ceo, Clinical Psychologist
Phone
(630) 321-9809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

200 S Frontage Rd Ste 324
Burr Ridge, IL 60527-6953

Mailing address

200 S Frontage Rd Ste 324
Burr Ridge, IL 60527-6953
Phone (630) 321-9809

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.drgretchenboules.com/contact Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1831703271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S FRONTAGE RD STE 324",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276953",
            "telephone_number": "630-321-9809",
            "fax_number": "630-537-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S FRONTAGE RD STE 324",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276953",
            "telephone_number": "630-321-9809",
            "fax_number": "630-537-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULES CLINICAL PSYCHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "BOULES",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "CEO, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-321-9809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.drgretchenboules.com/contact",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 S Frontage Rd Ste 324",
            "city": "Burr Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605276953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.