DR. ROSS MICHAEL VANDERKLOK


Address: 3512 Quentin Rd Ste 110, Brooklyn, NY 11234
Phone: 8002753243

DR. ROSS MICHAEL VANDERKLOK (NPI# 1902369291) 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) 1902369291
Entity Type Individual
Full Name DR. ROSS MICHAEL VANDERKLOK
Credential PSY.D.
Practice Address 3512 Quentin Rd Ste 110
Brooklyn
NY 11234
Mailing Address 3512 Quentin Rd Ste 110
Brooklyn
NY 11234-4245
Practice Telephone 8002753243
Mailing Telephone 8002753243
Enumeration Date 2019-04-12
Last Update Date 2019-05-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist NY Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
023197 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
975 Washington Ave Apt 1e, Brooklyn, NY 112252415 5743292624

Office Location

Street Address 3512 QUENTIN RD STE 110
City BROOKLYN
State NY
Zip Code 11234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023078219 Che Senior Psychological Services, PC Social Worker 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4231 2006-03-23
1063029155 Daljis B Ojeda-garcia Social Worker 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 2020-09-23
1740899467 Ellenge Dillete Denton Psychologist 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 2020-07-28
1922632769 Nuri Erkut Kucukboyaci Clinical Neuropsychologist 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 2020-03-02
1538799010 Jennifer Wertovitch Psychologist 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 2020-01-23
1730719865 Lisa Minond Social Worker 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 2020-01-16
1891347175 Carolyn Sara Greenblatt Psychologist 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 2019-07-16
1376009878 Susan Fournier Psychologist 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 2019-02-20
1396201661 Derek Seder Psychologist 3512 Quentin Rd Ste 110, Brooklyn, NY 11234 2019-02-12
1366907818 Heather Derry Vick Psychologist 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 2019-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861000549 Vanessa Clouden Counselor 651 East 59th St, Brooklyn, NY 11234 2020-07-17
1467098871 Stephan Jean-claude Licensed Practical Nurse 853 Est 52nd St., Kings, NY 11234 2019-11-20
1356983167 Barbara Baptiste Family Medicine 4710 Flatlands Ave, Brooklyn, NY 11234 2019-10-14
1376199141 Sabrina Boutros Physician Assistant 1618 East 34th Street, Brooklyn, NY 11234 2019-08-16
1740846252 Angelie Dawn Banaybanay Flores Physical Therapist 3214 Kings Highway, Brooklyn, New York, NY 11234 2019-05-10
1891273033 Diana Haughton-bennett Nurse Practitioner 2067 E 60th St, Brooklyn, NY 11234 2018-07-31
1518450030 Eduard Galper Technician/Technologist 2062 E 36th St, Brooklyn, NY 11234 2018-06-09
1538658448 Vanessa Lee Hernandez Nurse Practitioner 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 2018-05-07
1609377126 Keisha Batson Behavior Technician 1669 E 48th St, Brooklyn, NY 11234 2018-02-21
1598280323 Flex Rehab Physical Therapy PC Physical Therapist 1950 Coleman St, Brooklyn, NY 11234 2017-08-14
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700487774 Rebecca Kason Psychologist 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 2020-11-05
1780295790 Jiyoon Lee Psychologist 6 Metrotech Ctr # B020, Brooklyn, NY 11201-3840 2020-08-12
1912517608 Hannah Wertz Psychologist 485 7th Ave Apt 3, Brooklyn, NY 11215-5545 2020-08-06
1023636271 Jenny Wallier Psychologist 75 80th St, Brooklyn, NY 11209-3511 2020-07-13
1669096632 Gaurang Choksi Psychologist 44 Meserole St Apt 401, Brooklyn, NY 11206-1996 2020-06-04
1164057436 Clear Reflections Psychotherapy Pllc Psychologist 225 S Main St Ste C, Brooklyn, MI 49230-9158 2020-03-07
1306482021 Sara Teta Psychologist 436 Court Street # 7, Brooklyn, NY 11231 2019-11-19
1346895125 Margo Kahn Psychologist 1326 38th St, Brooklyn, NY 11218-3612 2019-08-07
1134773559 Flourish Psychology, Pllc Psychologist 300 Cadman Plz W # 12115, Brooklyn, NY 11201-3229 2019-07-25
1598328007 Scott Lyons Psychologist 380 Butler St Apt 3, Brooklyn, NY 11217-3103 2019-04-19
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Competitor

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City BROOKLYN
Zip Code 11234

Improve Information

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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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