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DR. ROBERT JOSEPH BOUCEK JR. PSY.D.
NPI 1508177734
Psychologist - Clinical in Champaign, IL

Active since June 22, 2010PECOS Enrolled
2506 GALEN DR, #103, CHAMPAIGN, IL 61821(217) 398-0744(217) 398-0778 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Joseph Boucek Jr. Psy.d. NPPES

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

DR. ROBERT JOSEPH BOUCEK JR. PSY.D. (NPI 1508177734) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (071008794) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508177734
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ROBERT JOSEPH BOUCEK JR.Credential: PSY.D.
Location Address2506 GALEN DR, #103Champaign, IL 61821-7046
Mailing Address2506 Galen Drive, #103Champaign, IL 61821-7047 · (217) 398-0744 · Fax (217) 398-0778
Phone(217) 398-0744
Fax(217) 398-0778
Sole ProprietorYes
Enumeration DateJune 22, 2010
Last NPPES UpdateMay 1, 2015
✔ NPI 1508177734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in IL · 071008794✔ Licensed in CA · PSY23495
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.
2506 GALEN DR, Champaign, IL 61821
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Joseph Boucek Jr. Psy.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 4

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

MCGILL COUNSELING, LLC
Counselor
2506 GALEN DR
CHAMPAIGN, IL 61821
Champaign County (217) 722-9733
DR. ROBERT J. LENTZ PH.D.
Psychologist (Clinical)
2506 GALEN DR, SUITE 103
CHAMPAIGN, IL 61821
Champaign County (217) 398-0744
MS. SANDRA KAY FERGUSON LCSW
Social Worker (Clinical)
2506 GALEN DR, SUITE 103
CHAMPAIGN, IL 61821
Champaign County (217) 398-0744
DR. JAMES RALPH SMITH PH.D.
Psychologist (Clinical)
2506 GALEN DR, SUITE 103
CHAMPAIGN, IL 61821
Champaign County (217) 398-0744

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 Robert Boucek's NPI number?

The NPI number for Robert Boucek is 1508177734. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Robert Boucek located?

Robert Boucek practices at 2506 Galen Dr #103, Champaign, IL 61821. The listed phone number is (217) 398-0744.

What is Robert Boucek's specialty?

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

Is Robert Boucek enrolled in Medicare?

Yes. Robert Boucek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Boucek was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.