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Dr. Stephanie Borjas Clark , PhD

Psychologist β€’ Chicago, IL

Active NPI 1881262863 Individual Practitioner Female Practitioner
Practice location in NPPES

1422 W Willow St
Chicago, IL 606428978

Call 7739988500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1422 W Willow St

Chicago, IL 606428978

Telephone 7739988500
Organization at the Same NPPES Address or Phone
Chicago Speech Therapy, Pc Facility NPI 1477851517

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

333 active clinicians are listed under Psychologist with a practice address in Chicago, IL (1,011 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

8.7% of these 333 clinicians have the CMS telehealth indicator.

13.5% of these 333 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-31
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES IL 071010393

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MI 6301017737

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - School

NUCC Taxonomy Code: 103TS0200X

License # reported to NPPES IL 2384697

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address August 31, 2022

Registered at 1833 W ADDISON ST APT 3, CHICAGO, IL 606133502 (Tel: 8179373368)

πŸ‘€
Provider Name / Credentials Updated November 10, 2021

Recorded as STEPHANIE CLARK, PHD

βœ…
NPI Profile Active June 15, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 15, 2021

Registered at 1422 W WILLOW ST, CHICAGO, IL 606428978 (Tel: 7739988500)

πŸ“
Business Mailing Address (Initial Record) June 15, 2021

Registered at 2108 N SHEFFIELD AVE APT 2, CHICAGO, IL 606147876 (Tel: 8179373368)

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2021

Recorded as STEPHANIE BORJAS, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Psychologist (license number reported to NPPES: MI 6301017737)

🟒
Initial NPI Registration & Enumeration June 15, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881262863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2021
Last Update: August 31, 2022
Sole Proprietor: Yes

Other Psychologists in Chicago

All Psychologists in Chicago

Mailing Address

1833 W Addison St Apt 3

Chicago, IL 606133502

Phone: 8179373368

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.