Active NPI
Victoria Visscher, PSYD
- Clinical Psychologist
- Oak Park, IL
National Provider Identifier
1245921535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.010938
- Practice address
- 105 N Oak Park Ave FL 2
Oak Park, IL 60301-1364 - Phone
- (630) 480-6934
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.010938 | IL | Primary |
Addresses
Primary practice location
105 N Oak Park Ave FL 2
Oak Park, IL 60301-1364
Mailing address
105 N Oak Park Ave FL 2
Oak Park, IL 60301-1364
Phone (630) 480-6934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010938 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1245921535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N OAK PARK AVE FL 2",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011364",
"telephone_number": "630-480-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N OAK PARK AVE FL 2",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011364",
"telephone_number": "630-480-6934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISSCHER",
"first_name": "VICTORIA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.