DR. RICHARD NEAL BOLNICK (PSYD) – Clinical Psychologist, NPI 1164402798

DR. RICHARD NEAL BOLNICK (PSYD) is a healthcare provider. based in Vernon hills, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 071-003331 (IL). The NPI Number for DR. RICHARD NEAL BOLNICK (PSYD) is 1164402798

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD NEAL BOLNICK (PSYD)
NPI
1164402798
Phone
(847) 549-6650
Address
977 LAKEVIEW PKWY
Enumeration Date
19 January 2006
Last Update Date
20 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475496650
Graduation Year
1984 (42 years ago)
PAC ID
5991877805
Professional Enrollment ID
I20080710000194
Address ID
IL600611444VE977XXPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. RICHARD NEAL BOLNICK (PSYD)

  • 977, Lakeview Parkway, Vernon Hills, Lake, Illinois, 60061, United States

    STE 110

    VERNON HILLS, IL 600611400

    Phone: (847) 549-6650

    Fax: (847) 549-7005

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080710000194IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour19811$0
View full utilization report →

Insurance plans in this area (ZIP 60061)

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Reviews

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Frequently asked questions

Does DR. RICHARD NEAL BOLNICK (PSYD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RICHARD NEAL BOLNICK (PSYD) uses 1164402798.
Does CMS list DR. RICHARD NEAL BOLNICK (PSYD) as active?
Yes — DR. RICHARD NEAL BOLNICK (PSYD) is active in the NPI listing used on this page.
What taxonomy line describes DR. RICHARD NEAL BOLNICK (PSYD)?
For research purposes, treat DR. RICHARD NEAL BOLNICK (PSYD) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. RICHARD NEAL BOLNICK (PSYD) based?
DR. RICHARD NEAL BOLNICK (PSYD) is tied to Vernon Hills, Illinois in the data we show; additional addresses may exist on the full record.
Why does DR. RICHARD NEAL BOLNICK (PSYD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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