Gregory Alan Van Dam, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8572 Issued in FL

Practice address

1936 Lee Rd
Ste 290
Winter Park, FL 32789-7202

Phone

(407) 233-1864

Fax

(407) 563-3264

NPI assigned

Apr 7, 2010

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

Medicare fee-for-service enrollment

Enrolled in FL

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Gregory Van Dam, Psy.D. LLC

  • Clinical Psychologist
  • Winter Park, FL
  • NPI 1689922528
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1942525548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 LEE RD",
            "address_2": "STE 290",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897202",
            "telephone_number": "561-252-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 LEE RD",
            "address_2": "STE 290",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897202",
            "telephone_number": "407-233-1864",
            "fax_number": "407-563-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAM",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soraya Valle
• Kathleen Contreras Vallet, COTA/L
• Chidambaram Sunder Valliappan, M.D.
• Valora Medical Management of Florida
• Value Care Alliance Aco PLLC
• Megan Lauren Van Deering
• Michael A Vandewater, PA-C
• Vanessa Occupational Therapy Services
• Taylor Vanhoozer
• Vanilla Skye Medical Supply LLC

• Clinical Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.