KEITH V BJORGE PSYD PC (NPI# 1790854636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790854636 |
| Entity Type | Organization |
| Organization Name | KEITH V BJORGE PSYD PC |
| Other Organization Name | CROSSROADS |
| Practice Address |
61 S Old Rand Rd Lake Zurich IL 60047-3127 |
| Practice Telephone | 8155784222 |
| Practice Fax Number | 8474380844 |
| Mailing Telephone | 8155784222 |
| Mailing Fax Number | 8474380844 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-11-10 |
| Authorized Official Name | DR. KEITH V BJORGE (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Telephone | 8155784222 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2091057 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071005483 | IL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Crossroads | Doing Business As Name - Organization |
| Street Address |
61 S OLD RAND RD |
| City | LAKE ZURICH |
| State | IL |
| Zip Code | 60047-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215589676 | Chelsea A Laliberte | Social Worker | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2019-07-15 |
| 1265999874 | Maria Catanzaro | Counselor | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2019-03-01 |
| 1710451240 | Maria Statkus | Counselor | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2019-01-17 |
| 1437625076 | Lydia Klassen | Counselor | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2018-10-22 |
| 1164943122 | Alaina C Knoedler | Counselor | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2017-06-29 |
| 1467980615 | Michelle Schaefer | Counselor | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2017-06-01 |
| 1700328408 | Leslie Scofield | Social Worker | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2016-11-11 |
| 1831547470 | Karen Robbins | Social Worker | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2016-05-24 |
| 1437555695 | Rick Coffaro | Counselor | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2014-11-14 |
| 1669807236 | Ashley Yergler | Counselor | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2013-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336569151 | Lauren Mcardle | Psychologist | 303 Meadow Ln, Lake Zurich, IL 60047-2423 | 2014-04-19 |
| 1316230766 | Michelle Sarah Krucek | Psychologist | 1 Golfview Rd Ste 4, Lake Zurich, IL 60047-1210 | 2011-05-18 |
| 1922233717 | Jason B Ness | Psychologist | 1232 Thorndale Ln, Lake Zurich, IL 60047-2763 | 2009-05-21 |
| 1417343492 | Jazzmin Villanueva | Psychologist | 1 Golfview Rd, Suite 4, Lake Zurich, IL 60047-1210 | 2015-04-07 |
| 1922314228 | Larowe & Barshinger Ltd | Psychologist | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2010-08-24 |
| 1700053360 | Keith V Bjorge | Psychologist | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2008-05-13 |
| 1528135126 | Clark E Barshinger | Psychologist | 61 S Old Rand Rd, Lake Zurich, IL 60047-3127 | 2006-11-29 |
| 1699877282 | Rhonda Franger | Psychologist | 290 N Rand Rd, Suite D, Lake Zurich, IL 60047-2213 | 2006-09-02 |
| 1194703041 | Melanie Louise Terbovic | Psychologist | 1 Golfview Rd, Suite 4, Lake Zurich, IL 60047-1210 | 2006-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ZURICH |
| Zip Code | 60047 |
Please comment or provide details below to improve the information on KEITH V BJORGE PSYD PC.
| 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.