DR. DARAH ELAINE WALLSTEN PSYD
NPI 1831476985
Psychologist - Clinical in Evanston, IL

Q: What is Darah Wallsten's NPI number?

The NPI number for Darah Wallsten is 1831476985. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Q: What is Darah Wallsten's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Darah Wallsten was last updated on June 4, 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.

Active since November 03, 2011PECOS Enrolled

636 CHURCH ST STE 405, EVANSTON, IL 60201(847) 250-9959(847) 306-8118 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2025, Apr 19, 2021 (2 updates tracked since 2021).

On this page

About Dr. Darah Elaine Wallsten Psyd NPPES

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

DR. DARAH ELAINE WALLSTEN PSYD (NPI 1831476985) is an individual clinical provider in Evanston, Illinois, licensed in Hawaii (4156) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Keaau.

NPPES Registry Identity

NPI1831476985

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DARAH ELAINE WALLSTENCredential: PSYD

Location Address636 CHURCH ST STE 405Evanston, IL 60201-4580

Mailing Address16-566 Keaau Pahoa Rd # 614Keaau, HI 96749-8137 · (808) 756-5030

Phone(847) 250-9959

Fax(847) 306-8118

Sole ProprietorNo

Enumeration DateNovember 3, 2011

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1831476985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in HI · 4156✔ Licensed in IL · 071.021040✔ Licensed in NC · 4187

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.

636 CHURCH ST STE 405, Evanston, IL 60201

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Secondary Practice Location 1

Location 116-566 Keaau Pahoa Rd # 614Keaau, HI 96749-8137 · Phone (808) 756-5030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Darah Elaine Wallsten Psyd 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 Darah Wallsten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Inc

4,178 mi

Radiology

1292 WAIANUENUE AVE
Hilo, HI 96720

Reassigned Medicare billing, Hawaii enrollment
206 clinicians in this Medicare group

NPI 1386767135 (808) 934-4000

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 60201 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.

Other Providers at the Same Location NPPES 2

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

DR. LARA J. JAKOBSONS PH.D.

Psychologist (Clinical)

636 CHURCH ST STE 405
EVANSTON, IL 60201

Cook County (847) 250-9959

CENTER FOR MIND HEALTH INC

Psychologist (Clinical)

636 CHURCH ST STE 405
EVANSTON, IL 60201

Cook County (847) 250-9959

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 Darah Wallsten's NPI number?

The NPI number for Darah Wallsten is 1831476985. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Darah Wallsten located?

Darah Wallsten practices at 636 Church St Ste 405, Evanston, IL 60201. The listed phone number is (847) 250-9959.

What is Darah Wallsten's specialty?

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

Is Darah Wallsten enrolled in Medicare?

Yes. Darah Wallsten is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Darah Wallsten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darah Wallsten reassigns Medicare benefits to Kaiser Foundation Health Plan Inc (Hilo, HI). 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 Darah Wallsten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darah Wallsten accept?

Health plans from HMSA list Darah Wallsten 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 Darah Wallsten was last updated on June 4, 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.