Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508177734 Individual Practitioner Male Practitioner

Dr. Robert Joseph Boucek , PsyD

Psychologist - Clinical • Champaign, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Robert Boucek, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Champaign, IL. Official NPI practice address is registered at 2506 GALEN DR.

Practice Location & Contact Primary Location

Practice Address

2506 Galen Dr
#103

Champaign, IL 618217046

Telephone 2173980744
Fax 2173980778
Associated Practice Facility / Clinic
🏢 Mcgill Counseling, Llc Facility NPI 1316545296

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.2 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Champaign, IL (4140 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071008794

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.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License CA PSY23495

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Robert Lentz , PhD

Psychologist - Clinical

NPI 1356334536

Doctor of Philosophy (Ph.D.)

Sandra Ferguson , LCSW

Social Worker - Clinical

NPI 1538157961

Licensed Clinical Social Worker

Dr. James Smith , PhD

Psychologist - Clinical

NPI 1659364180

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2015

Registered at 2506 GALEN DR, #103, CHAMPAIGN, IL 618217046 (Tel: 2173980744)

📍
Updated Business Mailing Address May 01, 2015

Registered at 2506 GALEN DRIVE, #103, CHAMPAIGN, IL 618217047 (Tel: 2173980744)

👤
Provider Name / Credentials Updated May 01, 2015

Recorded as ROBERT BOUCEK, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2015

Psychologist (License #071008794 in IL)

🟢
Initial NPI Registration & Enumeration June 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508177734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2010
Last Update: May 01, 2015
Sole Proprietor: Yes

Mailing Address

2506 Galen Drive, #103

Champaign, IL 618217047

Phone: 2173980744

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.