DR. JENNIFER ROSE VANDERBURG


Address: 5762 Bolsa Ave, Suite 107, Huntington Beach, CA 92649-1172
Phone: 5628045522

DR. JENNIFER ROSE VANDERBURG (NPI# 1871695866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871695866
Entity Type Individual
Full Name DR. JENNIFER ROSE VANDERBURG
Credential PSY.D
Practice Address 5762 Bolsa Ave
Suite 107
Huntington Beach
CA 92649-1172
Mailing Address Po Box 15603
Long Beach
CA 90815-0603
Practice Telephone 5628045522
Mailing Telephone 5628045522
Enumeration Date 2006-09-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 17308 CA Behavioral Health & Social Service Providers

Other Providers JENNIFER VANDERBURG

NPI Name Taxonomy Address Enumeration
1861740581 Jennifer L Vanderburg Mechanotherapist 240 N. Higgins #11, Missoula, MT 59802 2012-08-28
1952698011 Jennifer D Vanderburg Behavioral Analyst 1800 Rose St, Wichita Falls, TX 76301-4219 2011-07-08

Office Location

Street Address 5762 BOLSA AVE
SUITE 107
City HUNTINGTON BEACH
State CA
Zip Code 92649-1172

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184651887 Caroljean Mclean Nurse Practitioner 5762 Bolsa Ave, Suite 107, Huntington Beach, CA 92649-1172 2006-06-27
1447721626 Stephainine Cooper Behavior Technician 5762 Bolsa Ave, Huntington Beach, CA 92649-1172 2018-12-16
1508380361 Karen Majdalani Marriage & Family Therapist 5762 Bolsa Ave, Huntington Beach, CA 92649-1172 2017-08-02
1720502198 Abigail Q Ayala Behavior Technician 5762 Bolsa Ave, Huntington Beach, CA 92649-1172 2017-07-27
1871033597 Jessica Wight Behavior Technician 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 2017-02-28
1003353319 Jacquelyn Vargas Behavior Technician 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 2017-01-24
1801333273 Cayla Patel Behavior Technician 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 2017-01-24
1891231585 Julia Morairty Behavior Technician 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 2017-01-18
1326584293 Elaine Nguyen Behavior Technician 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 2017-01-16
1477099331 Jan Pesigan Behavior Technician 5762 Bolsa Ave, Suite 101, Huntington Beach, CA 92649-1172 2017-01-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225639305 Tanisha Grant Behavioral Analyst 4592 Warner Ave, Huntington Beach, CA 92649 2020-11-04
1023582772 Stanley Wayne Combs Emergency Medicine 16761 Edgewater Lane, Huntington Beach, CA 92649 2019-01-16
1609382084 Loc Do Pharmacist 16922 Bolsa Chica, Huntington Beach, CA 92649 2017-12-20
1487166765 Holly Forman Marriage & Family Therapist 17121 Tiffany Circle, Huntington Beach, CA 92649 2017-10-26
1205362522 Pmh Laboratory Inc Clinical Medical Laboratory 5862 Edinger Ave, Huntington Beach, CA 92649 2017-05-05
1972050086 Clear Reflections Psychol Assocs Social Worker 16897 Algonquin St., Ste L, Huntington Beach, CA 92649 2016-09-07
1588011274 Wisdom Foods Inc Dietitian, Registered 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 2016-05-23
1801253398 Thierry Kolpin Psychologist 5202 Edinger, Huntington Beach, CA 92649 2016-01-28
1811374242 Margarita Bernardo Velarde Pediatrics 17392 Wildrose Lane, Huntington Beach, CA 92649 2015-05-06
1023439809 Orange County Labs Inc. Clinical Medical Laboratory 15165 Triton Ln, Huntington Beach, CA 92649 2013-12-23
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770939514 Lynn Perryman Haye Psychologist 6301 Turnberry Cir, Huntington Beach, CA 92648-5584 2016-05-11
1275909731 Andrea Marie Jablonski Psychologist 19472 Riverdale Ln, Huntington Beach, CA 92648-5528 2015-08-18
1063826055 Erin Bray Psychologist 22001 Newport Cir, Huntington Beach, CA 92646-8343 2014-06-17
1558613109 Kooyman Psychological Services, Inc. Psychologist 16052 Beach Blvd Ste 214, Huntington Beach, CA 92647-3851 2012-10-06
1376848499 Debra Louise Aspinall Psychologist 5942 Edinger Ave Ste 113, Huntington Beach, CA 92649-1773 2011-01-20
1003050345 Janet Lynn Sonne Psychologist 21378 Estepa Cir, Huntington Beach, CA 92648-5398 2009-04-30
1659518835 Derek K. Wangberg A Psychological Corporation Psychologist 211 Indianapolis Ave, Huntington Beach, CA 92648-4322 2009-01-09
1790902583 Herminia E Shea Psychologist 18652 Florida St Ste 230, Huntington Beach, CA 92648-6007 2007-04-20
1073738225 Roberta G Wyman Psychologist 16581 Sell Cir, Huntington Beach, CA 92649-3298 2007-04-14
1669500567 Wasseem A Samaan Psychologist 4952 Warner Ave, #221, Huntington Beach, CA 92649-4479 2007-03-01
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Competitor

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City HUNTINGTON BEACH
Zip Code 92649

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Dataset Information

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.

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