Ashley Vanopstall, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010258 Issued in IL

Practice address

1650 E Main St Ste 200
St Charles, IL 60174-2373

Phone

(630) 283-2800

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1255097960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 GABRIELLE LN APT 924",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047988",
            "telephone_number": "810-410-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E MAIN ST STE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742373",
            "telephone_number": "630-283-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOPSTALL",
        "first_name": "ASHLEY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Van Duyn, OTR/L
• Robert John Van Tholen, D.C.
• Natalie Vandenbos
• Paul Edwin Vander Sande, L. C. P. C.
• Gaige Ryan Vandezande, DMD
• Vivian S Vanroekel, M.D.
• Margaret Cathleen Varga, DC
• Krupa R Varghese
• Amy Vaughan, MS,OTR/L
• Dulce E. Vazquez, D.C.

• Clinical Psychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.