KRISTINA MARIA BOUROS PSYD
NPI 1164909156
Psychologist in Romeoville, IL

Active since July 23, 2018PECOS Enrolled
1239 WINDHAM PKWY, ROMEOVILLE, IL 60446(815) 942-6323(779) 210-5541 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2023, Jul 13, 2022, May 13, 2022 and 3 more (6 updates tracked since 2018).

About Kristina Maria Bouros Psyd NPPES

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

KRISTINA MARIA BOUROS PSYD (NPI 1164909156) is an individual psychologist in Romeoville, Illinois, licensed in Illinois (071-010119) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164909156
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKRISTINA MARIA BOUROSCredential: PSYD
Location Address1239 WINDHAM PKWYRomeoville, IL 60446-1608
Mailing AddressPo Box 713260Chicago, IL 60677-0264 · (630) 469-9200
Fax(779) 210-5541
Sole ProprietorNo
Enumeration DateJuly 23, 2018
Last NPPES UpdateMay 19, 20236 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1164909156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071-010119
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.
1239 WINDHAM PKWY, Romeoville, IL 60446

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristina Maria Bouros Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1239 WINDHAM PKWY
ROMEOVILLE, IL 60446
Psychiatry & Neurology (Neurology)
1239 WINDHAM PKWY
ROMEOVILLE, IL 60446
Psychologist
1239 WINDHAM PKWY
ROMEOVILLE, IL 60446
Counselor (Mental Health)
1239 WINDHAM PKWY
ROMEOVILLE, IL 60446
Nurse Practitioner (Family)
1239 WINDHAM PKWY
ROMEOVILLE, IL 60446
Psychologist
1239 WINDHAM PKWY
ROMEOVILLE, IL 60446
Psychiatry & Neurology (Addiction Medicine)
1239 WINDHAM PKWY
ROMEOVILLE, IL 60446
Psychologist
1239 WINDHAM PKWY
ROMEOVILLE, IL 60446

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 Kristina Bouros's NPI number?

The NPI number for Kristina Bouros is 1164909156. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Kristina Bouros located?

Kristina Bouros practices at 1239 Windham Pkwy, Romeoville, IL 60446. The listed phone number is (815) 942-6323.

What is Kristina Bouros's specialty?

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

Is Kristina Bouros enrolled in Medicare?

Yes. Kristina Bouros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristina Bouros was last updated on May 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.