Individual provider Active NPI

Vilija Ball, PSYD

  • Clinical Psychologist
  • Arlington Heights, IL
National Provider Identifier
1164933479
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009566 Issued in IL
Practice address
3411-C North Kennicott Ave
Arlington Heights, IL 60004
Phone
(833) 710-7770
Fax
(224) 345-2118
NPI assigned
Oct 13, 2017
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.009566 IL Primary

Addresses

Primary practice location

3411-C North Kennicott Ave
Arlington Heights, IL 60004

Mailing address

3411-C North Kennicott Ave
Arlington Heights, IL 60004
Phone (833) 710-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207000867 IL Practitioner - Clinical Psychologist 8729345319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21 S Evergreen Ave
Suite 200 125
Arlington Heights, IL 60005-7800
Phone (224) 858-8323

3125 A N Wilke Rd
Suite a
Arlington Heights, IL 60004-1444
Phone (833) 710-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009566ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Posttraumatic Growth, PLLC Clinical Current Accepting new patients
Crosswinds Center for Personal and Professional Development, PLLC Clinical CurrentSince Jul 31, 2019 Accepting new patients
Barrington Behavioral Health & Wellness PC CurrentSince Oct 15, 2017 Accepting new patients

Locations

3125 N Wilke Rd
Ste A
Arlington Heights, IL 60004
Phone (833) 710-7770

3411 N Kennicott Ave
Ste C
Arlington Heights, IL 60004
Phone (630) 849-8275

400 E Main St
Ste 100
Barrington, IL 60010
Phone (888) 261-2178

290 N Rand Rd
Ste D
Lake Zurich, IL 60047
Phone (888) 261-2178

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1164933479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411-C NORTH KENNICOTT AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "833-710-7770",
            "fax_number": "224-345-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411-C NORTH KENNICOTT AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "833-710-7770",
            "fax_number": "224-345-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "VILIJA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.