Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619286986 Individual Practitioner Female Practitioner

Dr. Jacquelyn Eileen Augustine , PsyD

Counselor • Naperville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jacquelyn Augustine, PsyD is a registered healthcare professional specializing in Counselor in Naperville, IL. Practice services are available at 1415 BOND ST STE 127 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1415 Bond St Ste 127

Naperville, IL 605632769

Telephone 6303559002
Associated Practice Facility / Clinic
🏢 Dr Susan B Myket Pc Facility NPI 1457570251

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Naperville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
51 Specialists

Practicing in Naperville, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2022-01-17
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License IL 071008317

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

15 Associated Practitioners
Dr. Glen Veed , PhD

Psychologist - Clinical Child & Adolescent

NPI 1053614784

Doctor of Philosophy (Ph.D.)

Kristen Gulliver

Psychologist - Clinical

NPI 1073092102
Clarque Johnson

Counselor - Professional

NPI 1093329922
Dr. Arleen Lanci , PhD

Psychologist - Clinical

NPI 1215703608

Doctor of Philosophy (Ph.D.)

Dr. Sarah Bartlett , PsyD

Psychologist - Clinical

NPI 1386224038

Doctor of Psychology (Psy.D.)

Dr. Jessica Zohrer , PsyD

Psychologist - Clinical

NPI 1386477198

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 17, 2022

Registered at 1415 BOND ST STE 127, NAPERVILLE, IL 605632769 (Tel: 6303559002)

📍
Updated Business Mailing Address January 17, 2022

Registered at 1415 BOND ST, NAPERVILLE, IL 605632388 (Tel: 6303559002)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2022

Psychologist (License #071008317 in IL)

NPI Profile Active October 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2010

Registered at 15010 S RAVINIA AVE, SUITE 19, ORLAND PARK, IL 604623162 (Tel: 7084033200)

📍
Updated Business Mailing Address October 04, 2010

Registered at 918 N 16TH AVE, MELROSE PARK, IL 601603831 (Tel: 7082142448)

👤
Provider Name / Credentials Updated October 04, 2010

Recorded as JACQUELYN AUGUSTINE, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2010

Counselor

🟢
Initial NPI Registration & Enumeration October 04, 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: 1619286986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2010
Last Update: January 17, 2022
Sole Proprietor: Yes

Mailing Address

1415 Bond St

Naperville, IL 605632388

Phone: 6303559002

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.