W Douglas Vaselakos, PSY.D

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

071006093 Issued in IL

Practice address

700 Ravinia PL
Orland Park, IL 60462-3700

Phone

(708) 226-0010

Fax

(708) 226-0040

NPI assigned

Oct 25, 2006

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• V & R Behavioral Health Services LTD.

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1275661274
  Medicare reassignment NPD
• Lifecore SC

  • Psychiatry Physician
  • Lemont, IL
  • NPI 1356395396
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1235213968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAVINIA PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623700",
            "telephone_number": "708-226-0010",
            "fax_number": "708-226-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAVINIA PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623700",
            "telephone_number": "708-226-0010",
            "fax_number": "708-226-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASELAKOS",
        "first_name": "W DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006093",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "IL",
            "license": "071006093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "364250769",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PROVIDER NUMBER",
            "identifier": "0001622805",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Vanlone
• Michelle J Vannoord, LCPC
• Sarah Vanstedum
• Ammal Varghese, FNP
• Emily Vasconcelles, PA-C
• Jayantilal Damjibhai Vasnani
• VCR Senior Care Inc (ComForcare Senior Services)
• Jennifer Marie Veglio, PTA
• Ted Vellos, M.D.
• Venticare, LLC

• Psychoanalyst in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Psychoanalyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.