DR. DANIELLA LYDIA WIEGAND (PSY.D.) – Clinical Psychologist, NPI 1033295902

DR. DANIELLA LYDIA WIEGAND (PSY.D.) is a healthcare provider. based in Vernon hills, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071006380 (IL). The NPI Number for DR. DANIELLA LYDIA WIEGAND (PSY.D.) is 1033295902

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIELLA LYDIA WIEGAND (PSY.D.)
NPI
1033295902
Phone
(847) 549-6650
Address
977 LAKEVIEW PARKWAY
Enumeration Date
31 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2244336744
Graduation Year
1999 (27 years ago)
PAC ID
1759693856
Group Practice PAC ID
5991858516
Professional Enrollment ID
I20150702000136
Address ID
IL600483936LI1248XWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. DANIELLA LYDIA WIEGAND (PSY.D.)

  • 977, Lakeview Parkway, Vernon Hills, Lake County, Illinois, 60061, United States

    SUITE 180

    VERNON HILLS, IL 60061

    Phone: (847) 549-6650

    Fax: (847) 549-8006

    Type: Mailing

  • 977, Lakeview Parkway, Vernon Hills, Lake, Illinois, 60061, United States

    SUITE 180

    VERNON HILLS, IL 600611400

    Phone: (847) 549-6650

    Fax: (847) 549-8006

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150702000136IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991858516View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical PsychologistIL

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Frequently asked questions

Can I verify DR. DANIELLA LYDIA WIEGAND (PSY.D.) with an NPI only?
You can start verification with NPI 1033295902 for DR. DANIELLA LYDIA WIEGAND (PSY.D.), then check state licensing separately.
Does the file indicate DR. DANIELLA LYDIA WIEGAND (PSY.D.) is practicing under active NPI?
Directory data currently reports DR. DANIELLA LYDIA WIEGAND (PSY.D.) as active.
What is DR. DANIELLA LYDIA WIEGAND (PSY.D.)'s specialty?
The listing groups DR. DANIELLA LYDIA WIEGAND (PSY.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DANIELLA LYDIA WIEGAND (PSY.D.)?
DR. DANIELLA LYDIA WIEGAND (PSY.D.)'s geographic hint is Vernon Hills, Illinois in our summary view.
Why does DR. DANIELLA LYDIA WIEGAND (PSY.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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