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Deactivated NPI 1669454773 Deactivated / Inactive NPI Female Practitioner

Dr. Constance Williams Van Der Eb , PhD

Psychologist - Clinical • Lake Bluff, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Constance Van Der Eb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 15, 2005
NPI Deactivation Date July 21, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Constance Van Der Eb, PhD was a registered Psychologist - Clinical practicing in Lake Bluff, IL. Throughout an active medical career spanning 12 years, Dr. Van Der Eb provided care at the practice location at 300 ARBOR DR until profile deactivation on 2017-07-21.

Practice Location & Contact Primary Location

Practice Address

300 Arbor Dr

Lake Bluff, IL 600441349

Telephone 8472950875
Fax 8472950875

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Lake Bluff, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.3 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Lake Bluff, IL (4140 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 71-002020

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 21, 2017

Record deactivated on July 21, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 300 ARBOR DR, LAKE BLUFF, IL 600441349 (Tel: 8472950875)

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Updated Business Mailing Address July 08, 2007

Registered at 300 ARBOR DR, LAKE BLUFF, IL 600441349 (Tel: 8472950875)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CONSTANCE VAN DER EB, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #71-002020 in IL)

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Initial NPI Registration & Enumeration November 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669454773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2005
Last Update: July 08, 2007
Deactivation Date: July 21, 2017

Mailing Address

300 Arbor Dr

Lake Bluff, IL 600441349

Phone: 8472950875

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.