DAVID VALENTINER (PHD) – Clinical Psychologist, NPI 1063866523

DAVID VALENTINER (PHD) is a healthcare provider. based in Dekalb, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071005897 (IL). The NPI Number for DAVID VALENTINER (PHD) is 1063866523

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DAVID VALENTINER (PHD)
NPI
1063866523
Phone
(815) 787-6700
Address
1301 RYAN CT
Enumeration Date
20 April 2016
Last Update Date
20 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7797777335
Graduation Year
1994 (32 years ago)
PAC ID
1557654076
Group Practice PAC ID
4981736550
Professional Enrollment ID
I20160721000693
Address ID
IL601783124SY1625XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DAVID VALENTINER (PHD)

  • 1301, Ryan Court, DeKalb, DeKalb County, Illinois, 60115, United States

    DEKALB, IL 601155905

    Phone: (815) 787-6700

    Type: Mailing

  • 1625, Bethany Road, Sycamore, DeKalb County, Illinois, 60178, United States

    SYCAMORE, IL 601783124

    Phone: (815) 758-8400

    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: 2016-07-21

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
I20160721000693IClinical 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 60115)

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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: 4981736550View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Nurse PractitionerIL
Clinical PsychologistIL
Nurse PractitionerIL
Clinical PsychologistIL
Mental Health CounselorIL
-IL

Reviews

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Frequently asked questions

Can I cross-check DAVID VALENTINER (PHD) using NPI 1063866523?
NPI 1063866523 belongs to DAVID VALENTINER (PHD); compare other details if you need extra assurance.
Is DAVID VALENTINER (PHD) shown as active in public data?
Registry records indicate DAVID VALENTINER (PHD) maintains an active NPI.
What clinical focus is listed for DAVID VALENTINER (PHD)?
At a glance, DAVID VALENTINER (PHD) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Illinois is DAVID VALENTINER (PHD) registered?
Use Dekalb, Illinois as the headline location for DAVID VALENTINER (PHD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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