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SUSAN CHRISTINE VALESSARES PSY.D.
NPI 1114040227
Clinical Neuropsychologist in St Charles, IL

Active since April 06, 2007PECOS Enrolled
3 SQUIRE LN, ST CHARLES, IL 60174(630) 881-7601(630) 513-6839 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan Christine Valessares Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN CHRISTINE VALESSARES PSY.D. (NPI 1114040227) is an individual clinical neuropsychologist in St Charles, Illinois, licensed in Illinois (071-006810) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114040227
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameSUSAN CHRISTINE VALESSARESCredential: PSY.D.
Location Address3 SQUIRE LNSt Charles, IL 60174-1413
Mailing Address3 Squire LnSt Charles, IL 60174-1413 · (630) 881-7601 · Fax (630) 513-6839
Phone(630) 881-7601
Fax(630) 513-6839
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 15, 2008
✔ NPI 1114040227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IL · 071-006810
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 071-006810 (IL)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 071-006810 (IL)
3 SQUIRE LN, St Charles, IL 60174
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Christine Valessares Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Valessares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Dupage Physician Group
12 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S. C. VALESSARES, PSY.D., INC.
Clinical Neuropsychologist
3 SQUIRE LN
ST CHARLES, IL 60174
Kane County (630) 881-7601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Valessares's NPI number?

The NPI number for Susan Valessares is 1114040227. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Susan Valessares located?

Susan Valessares practices at 3 Squire Ln, St Charles, IL 60174. The listed phone number is (630) 881-7601.

What is Susan Valessares's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Susan Valessares enrolled in Medicare?

Yes. Susan Valessares is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Valessares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Valessares reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Valessares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Valessares was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.