BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
NPI 1104401454
Psychologist in Champaign, IL

Active since March 17, 2021
301 N NEIL ST STE 210, CHAMPAIGN, IL 61820(217) 244-4597 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Board Of Trustees Of The University Of Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS (NPI 1104401454) is a healthcare organization registered as a psychologist in Champaign, Illinois and active in the NPI registry since March 2021. The organization lists Avijit Ghosh, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1104401454
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Location Address301 N NEIL ST STE 210Champaign, IL 61820-3166
Mailing Address603 East Daniel Street, Room 327, Brenda ReinholdChampaign, IL 61820 · (217) 244-4613
Organization SubpartYes
Authorized OfficialAvijit GhoshComptroller · (217) 333-1202
Enumeration DateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
NPI 1104401454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
301 N NEIL ST STE 210, Champaign, IL 61820

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
301 N NEIL ST STE 210
CHAMPAIGN, IL 61820
Counselor (Professional)
301 N NEIL ST STE 210
CHAMPAIGN, IL 61820
Psychologist (Clinical)
301 N NEIL ST STE 210
CHAMPAIGN, IL 61820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Trustees Of The University Of Illinois's NPI number?

The NPI number for Board Of Trustees Of The University Of Illinois is 1104401454. It was assigned to this organization in the NPPES registry on March 17, 2021.

Where is Board Of Trustees Of The University Of Illinois located?

Board Of Trustees Of The University Of Illinois is located at 301 N Neil St Ste 210, Champaign, IL 61820. The listed phone number is (217) 244-4597.

What is Board Of Trustees Of The University Of Illinois's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of The University Of Illinois was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.