DR. LEO GERARD BOURNEUF (NPI# 1700833571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700833571 |
| Entity Type | Individual |
| Full Name | DR. LEO GERARD BOURNEUF |
| Credential | PSY.D. |
| Practice Address |
1655 N Arlington Heights Rd Suite 203e Arlington Heights IL 60004-3982 |
| Practice Telephone | 8472598583 |
| Practice Fax Number | 8472598935 |
| Mailing Telephone | 8472598583 |
| Mailing Fax Number | 8472598935 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 21623169 | 01 |
| Street Address |
1655 N ARLINGTON HEIGHTS RD SUITE 203E |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083692719 | Laurie B. Goldman | Psychiatry & Neurology | 1655 N Arlington Heights Rd, Suite 301w, Arlington Heights, IL 60004-3982 | 2006-01-03 |
| 1245687086 | Joan I Wood, LLC | Psychologist | 1655 N Arlington Heights Rd, Suite #304, Arlington Heights, IL 60004-3982 | 2016-05-23 |
| 1922453661 | Kj Wellness, Inc | Counselor | 1655 N Arlington Heights Rd, Suite 202e, Arlington Heights, IL 60004-3982 | 2016-05-02 |
| 1073988747 | Ellen Kraemer | Psychologist | 1655 N Arlington Heights Rd, Suite 203e, Arlington Heights, IL 60004-3982 | 2015-12-07 |
| 1437525482 | Cpr Medical Billing Assoc. Inc | Voluntary or Charitable | 1655 N Arlington Heights Rd, 203e, Arlington Heights, IL 60004-3982 | 2015-08-13 |
| 1497131528 | Integrative Psychiatric Services Ltd | Psychiatry & Neurology | 1655 N Arlington Heights Rd, Suite 301w, Arlington Heights, IL 60004-3982 | 2015-07-30 |
| 1881088912 | Noel Widholm | Social Worker | 1655 N Arlington Heights Rd, Suite 102 E, Arlington Heights, IL 60004-3982 | 2015-03-26 |
| 1083013213 | Courtney Jo Kloberdanz | Dentist | 1655 N Arlington Heights Rd, Suite 200e, Arlington Heights, IL 60004-3982 | 2014-08-13 |
| 1134537715 | Feed To Succeed | Dietitian, Registered | 1655 N Arlington Heights Rd, Suite 203e, Arlington Heights, IL 60004-3982 | 2014-07-28 |
| 1043633134 | Sherry Sue Smith | Social Worker | 1655 N Arlington Heights Rd, Suite 304, Arlington Heights, IL 60004-3982 | 2014-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648247 | Ashley Head | Psychologist | 1161 S Walnut Ave, Arlington Heights, IL 60005-3053 | 2020-10-29 |
| 1831459601 | Jennifer Wilson-binotti | Psychologist | 1146 N Mitchell Ave, Arlington Heights, IL 60004-4623 | 2012-05-25 |
| 1467781740 | Karen A. Drescher | Psychologist | 55 S Vail Ave, Arlington Heights, IL 60005-1881 | 2009-12-15 |
| 1255418398 | Morris N Shafran | Psychologist | 3365 N Arlington Heights Rd Ste A, Arlington Heights, IL 60004-7700 | 2006-11-01 |
| 1487759700 | Michelle Bailleaux-rago | Psychologist | 3250 N Arlington Hts Rd, Suite 112, Arlington Heights, IL 60067 | 2006-09-13 |
| 1851402176 | Joan Marie Durlacher | Psychologist | 314 N Dryden Pl, Arlington Heights, IL 60004-6314 | 2006-08-31 |
| 1639180094 | Christina Miksis | Psychologist | 3350 Salt Creek Lane, Suite 114, Arlington Heights, IL 60005-1089 | 2006-08-11 |
| 1750398202 | Mitchell N. Goodman | Psychologist | 1655 N. Arlington Heights Road, Suite 205e, Arlington Heights, IL 60004 | 2006-08-01 |
| 1598702722 | James Edward Courtney | Psychologist | 139 W. Rand Rd., Arlington Heights, IL 60004-3985 | 2006-05-31 |
| 1679510796 | Mark Frederick Frazier | Psychologist | 139 West Rand Rd., Arlington Heights, IL 60004-3982 | 2006-05-31 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.