Active NPI
Vivian Adeck Ndangoh-Tendong, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Aurora, IL
National Provider Identifier
1962075473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209026958
- Practice address
- 70 S River St
Aurora, IL 60506-5185 - Phone
- (630) 844-2662
- Fax
- (630) 844-3084
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 041417477 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209026958 | IL | Primary |
Addresses
Primary practice location
70 S River St
Aurora, IL 60506-5185
Mailing address
2500 Concord CT
Montgomery, IL 60538-5042
Phone (630) 340-0276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
70 S River St
Aurora, IL 60506-5185
Phone (630) 844-2662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041417477 | IL | MD | Community Health Registered Nurse |
| 209026958 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Clinic | Current | Accepting new patients | |
| Open Door Clinic of Greater Elgin | Current | Accepting new patients | |
| Family Counseling Service of Aurora | Current | Accepting new patients | |
| Family Counseling Service of Aurora | Current | Accepting new patients | |
| Psychelp Counseling & Psychiatry | Past | Accepting new patients |
Locations
70 S River St
Aurora, IL 60506
Phone (630) 844-2662
157 S Lincoln Ave
Ste K
Aurora, IL 60505
Phone (847) 695-1093
1665 Larkin Ave
Elgin, IL 60123
Phone (847) 695-1093
Interoperability endpoints
- vivian.ndangoh.1@17509.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aurora, IL
- NPI 1063591303
-
- Medical Specialty Clinic/Center
- Elgin, IL
- NPI 1255354635
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oswego, IL
- NPI 1518442276
-
- Infectious Disease Physician
- Aurora, IL
- NPI 1174902555
-
- Mental Health Counselor
- Naperville, IL
- NPI 1215786199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1962075473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 CONCORD CT",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605385042",
"telephone_number": "630-340-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 S RIVER ST",
"city": "AURORA",
"state": "IL",
"postal_code": "605065185",
"telephone_number": "630-844-2662",
"fax_number": "630-844-3084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDANGOH-TENDONG",
"first_name": "VIVIAN",
"middle_name": "ADECK",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "IL",
"license": "041417477",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209026958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.