MS. DEBORAH A VANDERWALL
NPI 1437645835
Assistant Behavior Analyst in Ingleside, IL

Active since July 09, 2018PECOS Enrolled
26211 W BOESCH PL, INGLESIDE, IL 60041(847) 344-4606 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Deborah A Vanderwall NPPES

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

MS. DEBORAH A VANDERWALL (NPI 1437645835) is an individual assistant behavior analyst provider in Ingleside, Illinois and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437645835
Entity TypeIndividualFemale
Primary Taxonomy106E00000X
Provider Legal NameMS. DEBORAH A VANDERWALL
Location Address26211 W BOESCH PLIngleside, IL 60041-9775
Mailing Address26211 W Boesch PlIngleside, IL 60041-9775 · (847) 344-4606
Sole ProprietorNo
Enumeration DateJuly 9, 2018
✔ NPI 1437645835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code106E00000X
Definition
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
26211 W BOESCH PL, Ingleside, IL 60041

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Deborah A Vanderwall 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 Deborah Vanderwall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
142 HAWLEY ST STE 5
Grayslake, IL 60030
  • Reassigned Medicare billing, Illinois enrollment
  • 22 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.

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 Deborah Vanderwall's NPI number?

The NPI number for Deborah Vanderwall is 1437645835. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Deborah Vanderwall located?

Deborah Vanderwall practices at 26211 W Boesch Pl, Ingleside, IL 60041. The listed phone number is (847) 344-4606.

What is Deborah Vanderwall's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

Is Deborah Vanderwall enrolled in Medicare?

Yes. Deborah Vanderwall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deborah Vanderwall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Vanderwall reassigns Medicare benefits to Counseling Center Of Grayslake Ltd. (Grayslake, 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 Deborah Vanderwall'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 Deborah Vanderwall was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.