DR. DIANNA W BOLEN PSYD
NPI 1417089293
Psychologist - Clinical in Chicago, IL

Q: What is Dianna Bolen's NPI number?

The NPI number for Dianna Bolen is 1417089293. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Q: What is Dianna Bolen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dianna Bolen was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment

4350 N HERMITAGE AVE, CHICAGO, IL 60613(773) 327-9356(773) 348-8220 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Dianna W Bolen Psyd NPPES

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

DR. DIANNA W BOLEN PSYD (NPI 1417089293) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071006419) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1417089293

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DIANNA W BOLENCredential: PSYD

Location Address4350 N HERMITAGE AVEChicago, IL 60613-1106

Mailing Address4350 N Hermitage AveChicago, IL 60613-1106 · (773) 327-9356 · Fax (773) 348-8220

Phone(773) 327-9356

Fax(773) 348-8220

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateMarch 9, 2007

Last NPPES UpdateJune 29, 2009

✔ NPI 1417089293 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 · 071006419

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.

4350 N HERMITAGE AVE, Chicago, IL 60613

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Other Identifiers 2

Other01632869IL · Bcbs

Medicare ID-Type Unspecified205656IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dianna W Bolen Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193876266

PECOS Enrollment IDI20090701000040

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MR. NOEL PAUL HERTZ MS, LMFT, LSW.

Social Worker

4350 N HERMITAGE AVE
CHICAGO, IL 60613

Cook County (773) 525-0753

DWB HUMAN SERVICES INC

Clinic/Center (Mental Health (Including Community Mental Health Center))

4350 N HERMITAGE AVE
CHICAGO, IL 60613

Cook County (773) 327-9356

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 Dianna Bolen's NPI number?

The NPI number for Dianna Bolen is 1417089293. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Dianna Bolen located?

Dianna Bolen practices at 4350 N Hermitage Ave, Chicago, IL 60613. The listed phone number is (773) 327-9356.

What is Dianna Bolen's specialty?

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

Is Dianna Bolen enrolled in Medicare?

Yes. Dianna Bolen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dianna Bolen was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.