DR. ANDRE DIRK VAN ROOYEN (NPI# 1073667481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073667481 |
| Entity Type | Individual |
| Full Name | DR. ANDRE DIRK VAN ROOYEN |
| Credential | PH.D. |
| Practice Address |
166 E Foothill Blvd Arcadia CA 91006-2568 |
| Practice Telephone | 8189864362 |
| Mailing Telephone | 8189864362 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 18256 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
18256 | CA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
18256 | CA | Behavioral Health & Social Service Providers |
| Street Address |
166 E FOOTHILL BLVD |
| City | ARCADIA |
| State | CA |
| Zip Code | 91006-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316312531 | Scott Cable | Marriage & Family Therapist | 166 E Foothill Blvd, Arcadia, CA 91006-2568 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
| 1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
| 1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
| 1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
| 1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
| Find all providers in zip 91006 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720284854 | Sharis Nazarian Rostamian | Clinical Neuropsychologist | 5522 Gracewood Ave, Arcadia, CA 91007-8409 | 2007-06-25 |
| 1003981986 | Michael Alan Charash | Clinical Neuropsychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2006-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.