Ilva E Van Valkenburgh, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

38221020 Issued in WI

Practice address

305 W Silver Spring Dr
Glendale, WI 53217

Phone

(414) 885-0080

Fax

(414) 885-0081

NPI assigned

Oct 20, 2006

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cedarlakecounseling.ilvavanvalkenburgh@135682.advancedmd-direct.com

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.

• Psychiatry of Texas PLLC

  dba Psychplus Associates

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  WI

  Medicare reassignment NPD
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  Psychiatry, WI

  Medicare reassignment NPD
• Great Oaks Consulting Services LLC

  • Psychiatry Physician
  • Glendale, WI
  • NPI 1669116810
  Authorized official Same address or phone
• Affiliated Clinical Services Inc

  • Multi-Specialty Clinic/Center
  • West Bend, WI
  • NPI 1851473698
  NPD (past)
• Apps Chiropractic and Wellness Center Inc

  • Chiropractor
  • Wauwatosa, WI
  • NPI 1336276625
  NPD (past)
• Ascension St Francis Hospital, Inc

  dba Ascension St Francis Hospital

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1225087190
  NPD (past)
• Ascension St Francis Hospital, Inc

  dba Ascension St Francis Hospital

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1710775408
  NPD (past)
• Kettle Moraine Counseling LLC

  dba Kettle Moraine Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Bend, WI
  • NPI 1568790954
  NPD (past)
• Laura Sunn MD SC

  • Clinic/Center
  • Racine, WI
  • NPI 1447420724
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1659453405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-885-0080",
            "fax_number": "414-885-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-885-0080",
            "fax_number": "414-885-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VALKENBURGH",
        "first_name": "ILVA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "38221020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K400278502",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32302400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Paul Urtz, PHD
• Nicole L Valk
• Patricia M. Van Den Kieboom, OTR
• Danielle Van Dyck, DPT
• Allen D Van Scoyk, D.C.
• Frederick Jacobus Van Vuuren
• Choua Linda Vang
• Anna-Maria Veytsman, M.D.
• Village of Brown Deer (North Shore Health Department)
• Fagun Rakesh Viramgama, MD

• Psychiatry Physician in Glendale, WI
• Providers in Glendale, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.