1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Psychologist
  6. NPI Profile

DOUG BOLTON PH.D.
NPI 1639630718
Psychologist - Clinical in Chicago, IL

Active since March 29, 2019
5100 N RAVENSWOOD AVE STE 225, CHICAGO, IL 60640(872) 241-9337(872) 241-9338 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Doug Bolton Ph.d. NPPES

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

DOUG BOLTON PH.D. (NPI 1639630718) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071005517) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1639630718
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDOUG BOLTONCredential: PH.D.
Location Address5100 N RAVENSWOOD AVE STE 225Chicago, IL 60640-1752
Mailing Address5100 N Ravenswood Ave Ste 225Chicago, IL 60640-1752 · (872) 241-9337 · Fax (872) 241-9338
Phone(872) 241-9337
Fax(872) 241-9338
Sole ProprietorNo
Enumeration DateMarch 29, 2019
✔ NPI 1639630718 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 · 071005517
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.
5100 N RAVENSWOOD AVE STE 225, Chicago, IL 60640
Open in Google Maps ↗

Other Identifiers 1

Other071005517IL · Idfpr

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.

MARTHA TYLER
Marriage & Family Therapist
5100 N RAVENSWOOD AVE STE 225
CHICAGO, IL 60640
Cook County (865) 207-7875
DR. ABBY WEINSTEIN ED.D, LCPC
Counselor (Professional)
5100 N RAVENSWOOD AVE STE 225
CHICAGO, IL 60640
Cook County (847) 863-0301
JORDAN RANDOLPH HORWATH PHD
Psychologist (Clinical)
5100 N RAVENSWOOD AVE STE 225
CHICAGO, IL 60640
Cook County (872) 241-9337

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 Doug Bolton's NPI number?

The NPI number for Doug Bolton is 1639630718. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Doug Bolton located?

Doug Bolton practices at 5100 N Ravenswood Ave Ste 225, Chicago, IL 60640. The listed phone number is (872) 241-9337.

What is Doug Bolton's specialty?

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

When was this NPI record last updated?

The NPPES record for Doug Bolton was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.