Jacquelyn Eileen Augustine, PSYD is a
Counselor based in Naperville, Illinois. Jacquelyn Eileen Augustine is licensed to practice in * (Not Available) (license number ) and her current practice location is
1415 Bond St Ste 127, Naperville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 355-9002.
NPI number for Jacquelyn Eileen Augustine is 1619286986 and her current mailing address is 1415 Bond St, Naperville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619286986.
Healthcare Provider's Profile
Full Name | Jacquelyn Eileen Augustine |
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Gender | Female |
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Speciality | Counselor |
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Location | 1415 Bond St Ste 127, Naperville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619286986
- Provider Enumeration Date: 10/04/2010
- Last Update Date: 01/17/2022
Medical Identifiers
Medical identifiers for Jacquelyn Eileen Augustine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619286986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071008317 (Illinois) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Eileen Augustine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacquelyn Eileen Augustine, PSYD 1415 Bond St, Naperville, IL 60563-2388 Ph: (630) 355-9002 | Jacquelyn Eileen Augustine, PSYD 1415 Bond St Ste 127, Naperville, IL 60563-2769 Ph: (630) 355-9002 |
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