CMS-1500 Box 24J / 33a • NPI
1841239043
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103TC0700X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical
Box 32 Service Location & ZIP+4
115 S WILKE RD, SUITE 300, ARLINGTON HEIGHTS, IL, 60005-1532
✓ 9-Digit EDI 837 ZIP+4 (60005-1532)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1841239043 (ELIZABETH M BOLASH, Psy.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1841239043 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ELIZABETH M BOLASH, Psy.D. |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: 103TC0700X (Psychologist, Clinical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 115 S WILKE RD, SUITE 300, ARLINGTON HEIGHTS, IL, 60005-1532 |
| Practice Telephone / Fax | Tel: (847) 259-2020 | Fax: (847) 259-2078 |
| Administrative Mailing Address | 2104 GEORGE ST, ROLLING MEADOWS, IL, 60008-1702 |
| Enumeration & Last Sync | Enumerated: 2006-06-05 | CMS Record Updated: 2026-07-13 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)
What Does Taxonomy Code 103TC0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ELIZABETH M BOLASH, Psy.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: IL | License: 071-006831 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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