CROSSROADS
NPI 1790854636
Psychologist - Clinical in Lake Zurich, IL

Q: What is Keith V Bjorge Psyd PC's NPI number?

The NPI number for Keith V Bjorge Psyd PC is 1790854636. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Crossroads.

Q: What is Keith V Bjorge Psyd PC's specialty?

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

Active since November 07, 2006

61 S OLD RAND RD, LAKE ZURICH, IL 60047(815) 578-4222(847) 438-0844 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crossroads NPPES

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

CROSSROADS (NPI 1790854636) is a healthcare organization registered as a clinical in Lake Zurich, Illinois and active in the NPI registry since November 2006. The organization lists Keith V Bjorge, President/psychologist, as its authorized official.

NPPES Registry Identity

NPI1790854636

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKEITH V BJORGE PSYD PC

Location Address61 S OLD RAND RDLake Zurich, IL 60047-3127

Mailing Address61 S Old Rand RdLake Zurich, IL 60047-3127 · (815) 578-4222 · Fax (847) 438-0844

Phone(815) 578-4222

Fax(847) 438-0844

Organization SubpartNo

Authorized OfficialKeith V BjorgePresident/psychologist · (815) 578-4222

Enumeration DateNovember 7, 2006

Last NPPES UpdateNovember 10, 2011

✔ NPI 1790854636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071005483

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.

Also ListedPsychologistTaxonomy 103T00000X · License 2091057 (WI)

61 S OLD RAND RD, Lake Zurich, IL 60047

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Other Names 1

Doing Business AsCrossroads

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

AMY TANNER LCSW

Social Worker (Clinical)