Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Doris M Van Byssum I, PSYD

Individual provider Clinical Psychologist · NPI 1063515369

Doris M Van Byssum I, PSYD is a Nurse Practitioner in Wheaton, Illinois. Qualified in 1982, 44 years ago. Practices with Genesis Clinical Services, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
44
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1725 S Naperville Rd Ste 206
Wheaton, IL 60189-5805
Phone: (630) 653-6441
Fax: (630) 653-8409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.010527041.189584 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071-004744 (IL)

Record details

NPI number1063515369
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESMarch 14, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Genesis Clinical Services — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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