Jacquelyn Eileen Augustine, PSY.D.

Counselor · Naperville, IL

Individual Active NPI

NPI number 1619286986

Practice location

1415 Bond St Ste 127
Naperville, IL 60563-2769
Phone
(630) 355-9002

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NPI record

NPI
1619286986
Entity type
Individual (Type 1)
Enumeration date
October 4, 2010
Last updated
January 17, 2022
Certified
January 17, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —
Clinical Psychologist 103TC0700X 071008317 IL

Mailing address

1415 Bond St
Naperville, IL 60563-2388
Phone
(630) 355-9002

About Dr. Augustine

Jacquelyn Eileen Augustine, PSY.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1415 Bond St Ste 127, Naperville, IL 60563-2769. The NPI number 1619286986 was assigned on October 4, 2010 and the record was last updated on January 17, 2022.

Dr. Augustine lists a license in the registry: #071008317 (IL) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacquelyn Eileen Augustine, PSY.D.?

The NPI number is 1619286986.

What is the phone number of Dr. Augustine?

The phone number listed for the practice location is (630) 355-9002.

Where is Dr. Augustine located?

1415 Bond St Ste 127, Naperville, IL 60563-2769.

What is the taxonomy code for Dr. Augustine?

The primary taxonomy code is 101Y00000X – Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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