Jeffrey Brian Vanmeter, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006312 Issued in IL

Practice address

3033 Ogden Ave Ste 200
Lisle, IL 60532-1976

Phone

(877) 443-7030

Fax

(630) 983-0162

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Legacy Clinical Consultants, LLC

  • Clinical Neuropsychologist
  • Lisle, IL
  • NPI 1124092911
  Medicare reassignment NPD Authorized official
• Paul J. Capriotti, M.D.,S.C.

  • Psychiatry Physician
  • Lisle, IL
  • NPI 1912105735
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1336367606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N SCOTT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873862",
            "telephone_number": "877-443-7030",
            "fax_number": "630-983-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE STE 200",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321976",
            "telephone_number": "877-443-7030",
            "fax_number": "630-983-0162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13717 S Route 30 Ste 159",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605445561",
            "country_code": "US",
            "telephone_number": "877-443-7030 x223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANMETER",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9932120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Van Loan, LCPC
• Julie D. Van, D.O.
• Matthew Scott Vanbeek, DDS
• Darcie Vance
• Samantha Vanderplow, LCSW
• Nathan A Vanraden, ATC
• Sobhana Vasan, DAC
• Vaxmed LLC
• Rachel Suzanne Verner, PT
• Vitacare Health Services, Inc.

• Clinical Psychologist in Lisle, IL
• Providers in Lisle, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.