DR. ALYSSA NEWMAN VAN DENBURG PHD
NPI 1245799725
Psychologist - Clinical in Grayslake, IL
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Alyssa Van Denburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Alyssa Van Denburg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Van Denburg reassigns Medicare benefits to Northwestern Medical Faculty Foundation (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 Alyssa Van Denburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Van Denburg accept?
Health plans from Oscar Health list Alyssa Van Denburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 20 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.
# Dr. Alyssa Newman Van Denburg, PHD · NPI 1245799725
Clinical provider in Grayslake, Illinois. Individual provider, active in the CMS NPPES registry since March 14, 2019.
## Identity
- **NPI:** 1245799725 (Entity type: Individual)
- **Enumerated:** March 14, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071.010838 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1475 E BELVIDERE RD STE 203, Grayslake, IL 60030-2015
- **Phone:** (847) 535-7647 · **Fax:** (224) 271-4960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245799725) · Data from the CMS NPPES public registry.