VANDERBURG PSYCHOLOGICAL, INC. (NPI# 1801421599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801421599 |
| Entity Type | Organization |
| Organization Name | VANDERBURG PSYCHOLOGICAL, INC. |
| Practice Address |
3551 Florista St Ste 1d Los Alamitos CA 90720-2488 |
| Practice Telephone | 5624897981 |
| Mailing Telephone | 5624897981 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | DR. JENNIFER VANDERBURG (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5625725964 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Jennifer Vanderburg, Psy.D | Doing Business As Name - Organization |
| Street Address |
3551 FLORISTA ST STE 1D |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-2488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457890717 | Melis Alkin | Psychologist | 5122 Katella Ave Ste 307, Los Alamitos, CA 90720-6838 | 2017-02-20 |
| 1952548216 | Kevin Vanlant | Psychologist | 5182 Katella Ave, Suite 202, Los Alamitos, CA 90720-2824 | 2009-01-08 |
| 1598980252 | Steven C Schoger | Psychologist | 4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493 | 2007-04-16 |
| 1841208790 | A Psychological Corporation | Psychologist | 5188 Katella Ave, Ste 205, Los Alamitos, CA 90720 | 2006-08-04 |
| 1427066372 | Lawrence Neil Blum | Psychologist | 5182 Katella Avenue, Suite 205, Los Alamitos, CA 90720 | 2006-08-04 |
| 1063433183 | Bernard Franklin Natelson | Psychologist | 10900 Los Alamitos Blvd, Suite 207, Los Alamitos, CA 90720-2354 | 2006-07-22 |
| 1073508594 | Robert L Vande Steeg | Psychologist | 4050 Katella Ave, Ste 102, Los Alamitos, CA 90720-3434 | 2005-09-12 |
| 1881075281 | John Timberlake | Psychologist | 4132 Katella Ave, Ste 106, Los Alamitos, CA 90720-3495 | 2015-06-11 |
| 1871973610 | Amy La | Psychologist | 5122 Katella Ave, Suite 307, Los Alamitos, CA 90720-2826 | 2015-06-07 |
| 1366736753 | Gina Gallivan | Psychologist | 5182 Katella Ave, Suite 205, Los Alamitos, CA 90720-2824 | 2011-06-03 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on VANDERBURG PSYCHOLOGICAL, INC..
| 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.