DR. LYNDON VILLASENOR (D.O.) – Psychiatry Physician, NPI 1205092764

DR. LYNDON VILLASENOR (D.O.) is a healthcare provider. based in Wheaton, Illinois. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. R8497 (IA). The NPI Number for DR. LYNDON VILLASENOR (D.O.) is 1205092764

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. LYNDON VILLASENOR (D.O.)
NPI
1205092764
Phone
(630) 653-2300
Address
7 BLANCHARD CIRCLE
Enumeration Date
4 August 2008
Last Update Date
5 September 2013

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
2961642434
Group Practice PAC ID
0143202572
Professional Enrollment ID
I20131211001952
Address ID
IL601892039WH7XXXXCIRC301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,367 PSYCHIATRY in IL

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Provider Addresses for DR. LYNDON VILLASENOR (D.O.)

  • 7, Blanchard Circle, Danada Farms, Wheaton, DuPage County, Illinois, 60189, United States

    SUITE 201

    WHEATON, IL 601892039

    Phone: (630) 653-2300

    Fax: (630) 653-2895

    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)

CMS reports 36 Open Payments records for all available years, with a total value of $952.

Total Amount is formed as General ($952) + Research ($0) + Ownership ($0) = $952.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Corium, LLC ($408).

Total Amount

$952

General + Research + Ownership

Payments

36

Total payment records

General Amount

$952

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-12-11

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
I20131211001952IPsychiatryILTBD

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 60189)

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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: 0143202572View full group profile
NameSpecialtyState
Clinical PsychologistIL
P S Y C H I A T R YIL
Clinical PsychologistIL
P S Y C H I A T R YIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical PsychologistIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

Is there an official ID for DR. LYNDON VILLASENOR (D.O.) in U.S. healthcare records?
The official identifier for DR. LYNDON VILLASENOR (D.O.) is NPI 1205092764.
Would DR. LYNDON VILLASENOR (D.O.) appear as active to a payer?
You can treat DR. LYNDON VILLASENOR (D.O.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. LYNDON VILLASENOR (D.O.)?
DR. LYNDON VILLASENOR (D.O.)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LYNDON VILLASENOR (D.O.)?
Travel planning: use Wheaton, Illinois as the reference point for DR. LYNDON VILLASENOR (D.O.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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