DR. TEVYN P ANDERSON PSYD
NPI 1285022251
Psychologist - Clinical in Chicago, IL

Q: What is Tevyn Anderson's NPI number?

The NPI number for Tevyn Anderson is 1285022251. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Q: What is Tevyn Anderson's specialty?

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

Q: Is Tevyn Anderson enrolled in Medicare?

No. Tevyn Anderson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Tevyn Anderson was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 29, 2014Opted out of Medicare · through Jan 1, 2027

5042 N GLENWOOD AVE, APT. 2W, CHICAGO, IL 60640(847) 769-1873 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tevyn P Anderson Psyd NPPES

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

DR. TEVYN P ANDERSON PSYD (NPI 1285022251) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.008785) and active in the NPI registry since December 2014. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285022251

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TEVYN P ANDERSONCredential: PSYD

Location Address5042 N GLENWOOD AVE, APT. 2WChicago, IL 60640-2870

Mailing Address5042 N Glenwood Ave, Apt. 2wChicago, IL 60640-2870 · (847) 769-1873

Phone(847) 769-1873

Sole ProprietorYes

Enumeration DateDecember 29, 2014

✔ NPI 1285022251 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 · 071.008785

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.

5042 N GLENWOOD AVE, Chicago, IL 60640

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Tevyn P Anderson Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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 Tevyn Anderson's NPI number?

The NPI number for Tevyn Anderson is 1285022251. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Where is Tevyn Anderson located?

Tevyn Anderson practices at 5042 N Glenwood Ave Apt. 2W, Chicago, IL 60640. The listed phone number is (847) 769-1873.

What is Tevyn Anderson's specialty?

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

Is Tevyn Anderson enrolled in Medicare?

No. Tevyn Anderson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tevyn Anderson was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.