Madeline Boltin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-32894 Issued in IL

Practice address

2901 Finley Rd Ste 102
Downers Grove, IL 60515-1774

Phone

(630) 495-6800

NPI assigned

Feb 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapeutic Strategies, Inc

  • Counselor
  • Downers Grove, IL
  • NPI 1346316593
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1972041960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 PONTIAC DR APT 2911",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 FINLEY RD STE 102",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151774",
            "telephone_number": "630-495-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3S140 Barkley Ave",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605551505",
            "country_code": "US",
            "telephone_number": "888-308-3728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLTIN",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "B43554192901",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-18-32894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prerna Bodalia, DPT, PT
• Charles Nathan Bodem, D C
• Jaron Boggs
• Elizabeth Bohnsak
• Zahra Bohri
• Lex E Bonam, DVM
• Christine M Bonavolante, LCSW
• Laurel C Bonk, LCSW
• Jill Borchert, PHARMD
• Jane S Borgehammar, PT

• Behavior Analyst in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.