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VICTOR T TAN PSY.D HSPP
NPI 1689641243
Psychologist - Clinical in South Bend, IN

Active since March 02, 2006PECOS Enrolled
403 E MADISON ST, SOUTH BEND, IN 46617(574) 283-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Victor T Tan Psy.d Hspp NPPES

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

VICTOR T TAN PSY.D HSPP (NPI 1689641243) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (20041088A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689641243
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameVICTOR T TANCredential: PSY.D HSPP
Location Address403 E MADISON STSouth Bend, IN 46617-2322
Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234 · Fax (574) 537-2652
Phone(574) 283-1234
Fax(574) 537-2652
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateOctober 14, 2010
✔ NPI 1689641243 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 IN · 20041088A
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.
403 E MADISON ST, South Bend, IN 46617
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Other Identifiers 3

Medicare ID-Type Unspecified237590LIN
Medicaid200200740AIN
Medicare UPINS18989

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victor T Tan Psy.d Hspp 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 Victor Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oaklawn Psychiatric Center, Inc.
14 mi
Mental Health (Including Community Mental Health Center)
2600 OAKLAND AVE
Elkhart, IN 46517
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
NPI 1598847212 (574) 533-1234

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 46617 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 20

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

ALICE GOERTZ MSW
Social Worker
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
CHERYL QUIOGUE-HUNT LSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
LAFO ROBBINS MA
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
FAYE PETERSON-POTTINGER LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
RACHEL NJUGUNA PHD
Psychologist (Clinical Child & Adolescent)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
MARK V SNELL LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
KATHERINE S POWELL MS
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107
SARAH A PINTER LCSW
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1107

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 Victor Tan's NPI number?

The NPI number for Victor Tan is 1689641243. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Victor Tan located?

Victor Tan practices at 403 E Madison St, South Bend, IN 46617. The listed phone number is (574) 283-1234.

What is Victor Tan's specialty?

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

Is Victor Tan enrolled in Medicare?

Yes. Victor Tan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victor Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victor Tan reassigns Medicare benefits to Oaklawn Psychiatric Center, Inc. (Elkhart, IN). 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 Victor Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victor Tan accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Victor Tan 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 Victor Tan was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.