Individual provider · Type 1 NPI

Ivelisse Burgo, PSYD, LPC, NCC

Clinical Psychologist · Evanston, IL

NPI number 1083169791 Active

Practice location

828 Davis St Ste 213
Evanston, IL 60201-4420

Fax (847) 972-6445

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071-010821 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1083169791

Ivelisse Burgo, PSYD, LPC, NCC's National Provider Identifier is 1083169791, issued on Aug 23, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Evanston, IL. The record was last updated on Oct 1, 2026.