Van Byssum Associates, PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.010527041.189584 Issued in IL

Legal business name

VAN BYSSUM ASSOCIATES, PC

Practice address

174 S Montclair Ave
Glen Ellyn, IL 60137-6357

Phone

(630) 858-0875

Fax

(630) 858-0650

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Doris M Van Byssum, PSY.D.

Title

President/Owner

Phone

(630) 858-0875

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1497949762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S MONTCLAIR AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376357",
            "telephone_number": "630-858-0875",
            "fax_number": "630-858-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S MONTCLAIR AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376357",
            "telephone_number": "630-858-0875",
            "fax_number": "630-858-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BYSSUM ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "VAN BYSSUM",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-858-0875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004744",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.010527041.189584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Henry Valdez, D.C.
• Kaitlin Elaine Valdick, MS, RDN
• Edward C Valkner, PT, OCS
• Antonio Valles
• Van L Vallina, MD
• Myles Godshall Van Camp
• Andjela Varagic, PMHNP
• Agne Velicka, DPT
• Verion Medical Laboratory LLC
• Verus Healthcare, LLC

• Psychiatric/Mental Health Nurse Practitioner in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.