Zhannah Vaysman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010168 Issued in IL

Practice address

201 E Park St Ste B
Mundelein, IL 60060-1973

Phone

(847) 566-0164

NPI assigned

Aug 10, 2017

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

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Ganesha Institute of Neurology and Psychiatry SCGroup PAC ID 0042432296, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zhannah.vaysman.1@9664.direct.athenahealth.com

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.

• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Libertyville, IL
  • NPI 1629478599

  WI

  Medicare reassignment Care Compare group NPD
• Healthy Minds International Inc

  • Adult Mental Health Clinic/Center
  • Lincolnshire, IL
  • NPI 1073157707
  Medicare reassignment Authorized official
• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Kenosha, WI
  • NPI 1619731320
  NPD
• Neurobehavioral Health Connections, LTD

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1164545836
  NPD (past)
• Robert M Pasen PHD PC

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1821030024
  NPD (past)

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1689199689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MCRAE LN",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601400",
            "telephone_number": "847-595-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E PARK ST STE B",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601973",
            "telephone_number": "847-566-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 McRae Ln",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "600601400",
            "country_code": "US",
            "telephone_number": "847-602-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAYSMAN",
        "first_name": "ZHANNAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vida Mental Health LLC

• Clinical Psychologist in Mundelein, IL
• Providers in Mundelein, 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 6, 2019; 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.