Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith V Bjorge PSYD PC

Organization Psychologist · NPI 1790854636

Keith V Bjorge PSYD PC is a Psychologist in Lake Zurich, Illinois. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.

Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

61 S Old Rand Rd
Lake Zurich, IL 60047-3127
Phone: (815) 578-4222
Fax: (847) 438-0844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071005483 (IL)
Psychologist Taxonomy 103T00000X · Licence 2091057 (WI)

Record details

NPI number1790854636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Bjorge — President/Psychologist · (815) 578-4222
Other names Crossroads
NPI enumeratedNovember 7, 2006
Last updated in NPPESNovember 10, 2011
Mailing address61 S Old Rand Rd, Lake Zurich, IL 60047-3127

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