FAMILY CARE ASSOCIATES OF BOURBONNAIS, INC.
NPI 1396239802
Psychologist - Clinical in Bourbonnais, IL

Active since June 18, 2018
750 ALMAR PKWY STE 204, BOURBONNAIS, IL 60914(815) 214-9872 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Care Associates Of Bourbonnais, Inc. NPPES

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

FAMILY CARE ASSOCIATES OF BOURBONNAIS, INC. (NPI 1396239802) is a healthcare organization registered as a clinical in Bourbonnais, Illinois and active in the NPI registry since June 2018. The organization lists Benjamin Kunz, President, as its authorized official.

NPPES Registry Identity

NPI1396239802
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameFAMILY CARE ASSOCIATES OF BOURBONNAIS, INC.
Location Address750 ALMAR PKWY STE 204Bourbonnais, IL 60914-2399
Mailing Address750 Almar Pkwy Ste 204Bourbonnais, IL 60914-2399 · (815) 214-9872
Organization SubpartNo
Authorized OfficialBenjamin KunzPresident · (815) 214-9872
Enumeration DateJune 18, 2018
✔ NPI 1396239802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.009770
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
750 ALMAR PKWY STE 204, Bourbonnais, IL 60914

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Care Associates Of Bourbonnais, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Care Associates Of Bourbonnais, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1801165147
200 MERCY DR STE 201
Dubuque, IA 52001
(563) 584-3500
✔ PECOS✔ Accepts Medicare171 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Care Associates Of Bourbonnais, Inc.'s NPI number?

The NPI number for Family Care Associates Of Bourbonnais, Inc. is 1396239802. It was assigned to this organization in the NPPES registry on June 18, 2018.

Where is Family Care Associates Of Bourbonnais, Inc. located?

Family Care Associates Of Bourbonnais, Inc. is located at 750 Almar Pkwy Ste 204, Bourbonnais, IL 60914. The listed phone number is (815) 214-9872.

What is Family Care Associates Of Bourbonnais, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Family Care Associates Of Bourbonnais, Inc. enrolled in Medicare?

Yes. Family Care Associates Of Bourbonnais, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Care Associates Of Bourbonnais, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Family Care Associates Of Bourbonnais, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Care Associates Of Bourbonnais, Inc. was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.