JOHN DAVIS VANDERVEEN


Address: 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239
Phone: 5818017246

JOHN DAVIS VANDERVEEN (NPI# 1235788480) 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) 1235788480
Entity Type Individual
Full Name JOHN DAVIS VANDERVEEN
Credential PHD
Practice Address 615 S Arapeen Dr Ste 100
Salt Lake City
UT 84108-1239
Mailing Address 1155 E 2100 S Apt 6312
Salt Lake City
UT 84106-6809
Practice Telephone 5818017246
Mailing Telephone 2487361422
Enumeration Date 2019-09-10
Last Update Date 2019-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
11176091-2501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 615 S ARAPEEN DR STE 100
City SALT LAKE CITY
State UT
Zip Code 84108-1239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952327173 Simon J Fisher Internal Medicine 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 2006-07-14
1285106088 Hanna Nicol Nurse Practitioner 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108 2018-12-18
1538647292 Caroline Suzanne Kelley Psychologist 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 2018-08-03
1194268466 Vanessa B Nielsen Pharmacist 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 2016-11-18
1740694405 Katie L Kaput Internal Medicine 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 2014-06-19
1770915852 Heather Spencer Johnson Internal Medicine 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 2013-07-31
1487893228 Josh Turner Physical Therapist 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 2009-02-18
1407977242 Deepika Santosh Reddy Internal Medicine 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
Find all providers in zip 84108

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
1780230433 Carolynne Elizabeth Baron Psychologist Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 2019-08-16
1083133938 Dio Turner II Psychologist 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 2017-09-12
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1205202355 Laura Rowley Psychologist 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 2015-08-12
1275916223 Amy Bonifay Russell Psychologist 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 2015-07-08
1952710071 The Pearce Institute of Child and Family Psychology, LLC Psychologist 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 2014-08-04
1053728105 Margaret Ruth Moore Psychologist 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 2014-07-21
1316360225 Amanda Lorraine Rapacz Psychologist 239 E Belmont Ave, Salt Lake City, UT 84111-4619 2014-01-28
1134566904 Allison Marie Smith Psychologist 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 2013-06-03
1558611970 New Life Balance, LLC Psychologist 2689 S Highland Dr, Salt Lake City, UT 84106-2774 2012-09-13
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84108

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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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