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JACQUELYN EILEEN AUGUSTINE PSY.D. NPI 1619286986


NPI Information

NPI: 1619286986
Provider Name: JACQUELYN EILEEN AUGUSTINE, PSY.D.
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1415 BOND ST STE 127
NAPERVILLE, IL
ZIP 60563
Phone: (630) 355-9002
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Jacquelyn Eileen Augustine, PSY.D. is a counselor in Naperville, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jacquelyn Eileen Augustine, PSY.D. NPI is 1619286986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1415 BOND ST STE 127
NAPERVILLE, IL
ZIP 60563-769
Phone: (630) 355-9002

The NPI 1619286986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 1/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical071008317ILLINOISNo
2101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.