JAMES M VIGGIANO (PHD) – Clinical Psychologist, NPI 1073609426

JAMES M VIGGIANO (PHD) is a healthcare provider. based in Rockford, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071004266 (IL). The NPI Number for JAMES M VIGGIANO (PHD) is 1073609426

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
JAMES M VIGGIANO (PHD)
NPI
1073609426
Phone
(815) 398-7000
Address
6975 REDANSA DR
Enumeration Date
5 October 2006
Last Update Date
29 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
3274425095
Professional Enrollment ID
I20110303000980
Address ID
IL611075309Ro8616XAVEX300
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 JAMES M VIGGIANO (PHD)

  • 6975, Redansa Drive, Rockford, Winnebago County, Illinois, 61108, United States

    ROCKFORD, IL 611081201

    Phone: (815) 398-7000

    Fax: (815) 398-0671

    Mailing address matches the actual address.

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: 2011-03-03

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
I20110303000980IClinical 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 61108)

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Reviews

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Frequently asked questions

Is JAMES M VIGGIANO (PHD) listed with a National Provider Identifier?
Yes — JAMES M VIGGIANO (PHD) has NPI 1073609426 on file in the registry.
Would JAMES M VIGGIANO (PHD) appear as active to a payer?
You can treat JAMES M VIGGIANO (PHD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JAMES M VIGGIANO (PHD)'s focus?
For JAMES M VIGGIANO (PHD), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is JAMES M VIGGIANO (PHD) associated with Rockford?
Public fields place JAMES M VIGGIANO (PHD) around Rockford, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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