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

Individual provider Clinical Psychologist · NPI 1417089293

Dr. Dianna W Bolen, PSYD is a Clinical Psychologist in Chicago, Illinois. Qualified in 1998, 28 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4350 N Hermitage Ave
Chicago, IL 60613-1106
Phone: (773) 327-9356
Fax: (773) 348-8220
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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 071006419 (IL)

Record details

NPI number1417089293
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESJune 29, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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