OrganizationActive
Blue Bolt Pediatric Care
NPI 1093551350 · Behavior Analyst · Evanston, IL
Blue Bolt Pediatric Care is a Behavior Analyst organization in Evanston, IL (NPI 1093551350).
Provider details
- NPI number
- 1093551350
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Emily Groben, Board Certified Behavior Analyst(917) 580-2599
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 Elgin Rd Apt 1218
Evanston, IL 60201-5628
Phone: (917) 580-2599
Street-level locationGet directions
Mailing address
1555 Sherman Ave # 324
Evanston, IL 60201-4421
Registry dates
- Enumerated
- 2024-07-06
- Last updated
- 2025-04-04
- Certified
- 2025-04-04
Frequently asked questions
- What is Blue Bolt Pediatric Care's NPI number?
- Blue Bolt Pediatric Care's National Provider Identifier (NPI) is 1093551350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Bolt Pediatric Care?
- Blue Bolt Pediatric Care is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Blue Bolt Pediatric Care located?
- Blue Bolt Pediatric Care's practice location on file with NPPES is 800 Elgin Rd Apt 1218, Evanston, IL 60201-5628.
- What is Blue Bolt Pediatric Care's phone number?
- The practice phone number listed in the NPPES registry for Blue Bolt Pediatric Care is (917) 580-2599.
- Who is the authorized official for Blue Bolt Pediatric Care?
- The authorized official listed on Blue Bolt Pediatric Care's NPPES record is Emily Groben, Board Certified Behavior Analyst. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Bolt Pediatric Care's NPI active?
- Yes — Blue Bolt Pediatric Care's NPI (1093551350) is active in the NPPES registry as of the last update on 2025-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.