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

Doug Bolton, PHD

Individual provider Clinical Psychologist · NPI 1639630718

Doug Bolton, PHD is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

5100 N Ravenswood Ave Ste 225
Chicago, IL 60640-1752
Phone: (872) 241-9337
Fax: (872) 241-9338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071005517 (IL)

Record details

NPI number1639630718
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESMarch 29, 2019

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