DR. ALYSSA NEWMAN VAN DENBURG PHD
NPI 1245799725
Psychologist - Clinical in Grayslake, IL

Active since March 14, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1475 E BELVIDERE RD STE 203, GRAYSLAKE, IL 60030(847) 535-7647(224) 271-4960 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2025, Oct 27, 2022, Oct 22, 2022 and 3 more (6 updates tracked since 2019).

About Dr. Alyssa Newman Van Denburg Phd NPPES

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

DR. ALYSSA NEWMAN VAN DENBURG PHD (NPI 1245799725) is an individual clinical provider in Grayslake, Illinois, licensed in Illinois (071.010838) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grayslake, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245799725
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALYSSA NEWMAN VAN DENBURGCredential: PHD
Location Address1475 E BELVIDERE RD STE 203Grayslake, IL 60030-2015
Mailing Address1475 E Belvidere Rd Ste 203Grayslake, IL 60030-2015 · (847) 535-7647 · Fax (224) 271-4960
Fax(224) 271-4960
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 14, 2019
Last NPPES UpdateFebruary 17, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
NPI 1245799725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071.010838
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1475 E BELVIDERE RD STE 203, Grayslake, IL 60030

Secondary Practice Location 1

Location 11475 E Belvidere Rd Ste 203Grayslake, IL 60030 · Phone (847) 535-7647 · Fax (224) 271-4960

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Alyssa Newman Van Denburg Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244607760
PECOS Enrollment IDI20221111002043
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1475 E BELVIDERE RD STE 203
GRAYSLAKE, IL 60030

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 Alyssa Van Denburg's NPI number?

The NPI number for Alyssa Van Denburg is 1245799725. It was assigned to this individual provider in the NPPES registry on March 14, 2019.

Where is Alyssa Van Denburg located?

Alyssa Van Denburg practices at 1475 E Belvidere Rd Ste 203, Grayslake, IL 60030. The listed phone number is (847) 535-7647.

What is Alyssa Van Denburg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alyssa Van Denburg enrolled in Medicare?

Yes. Alyssa Van Denburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alyssa Van Denburg was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.