DR. WILLIAM JOHN VANDOORNINCK


Address: 315 Riverside Drive Brr, Silverthorne, CO 80498-9503
Phone: 9705134775

DR. WILLIAM JOHN VANDOORNINCK (NPI# 1417038027) 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) 1417038027
Entity Type Individual
Full Name DR. WILLIAM JOHN VANDOORNINCK
Credential PH.D.
Practice Address 315 Riverside Drive Brr
Silverthorne
CO 80498-9503
Practice Telephone 9705134775
Practice Fax Number 9705134776
Mailing Telephone 9705134775
Mailing Fax Number 9705134776
Enumeration Date 2006-10-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103G00000X Clinical Neuropsychologist 378 CO Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
378 CO Behavioral Health & Social Service Providers
X 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
378 CO Behavioral Health & Social Service Providers

Office Location

Street Address 315 RIVERSIDE DRIVE BRR
City SILVERTHORNE
State CO
Zip Code 80498-9503

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609485648 Poudre Valley Medical Group, LLC Clinical Neuropsychologist 175 S Union Blvd Ste 240, Colorado Springs, CO 80910-3125 2020-07-27
1184102790 Emily Claire Maxwell Clinical Neuropsychologist 10111 Inverness Main St Unit 417, Englewood, CO 80112-5727 2018-08-06
1356828776 Samantha D Stein Clinical Neuropsychologist 50 S Steele St Ste 250, Denver, CO 80209-2802 2018-07-27
1255848321 Jill Gitten Aloia Clinical Neuropsychologist 2501 Walnut St Ste 102, Boulder, CO 80302-5752 2018-01-10
1497265367 Alicia Williams Clinical Neuropsychologist 400 S Mccaslin Blvd Ste 212, Superior, CO 80027-9701 2017-10-05
1689102568 2 Peaks Center for Neuro Psychology Clinical Neuropsychologist 2001 S Shields Street, Bldg A, Fort Collins, CO 80526-1827 2017-05-23
1487192076 Icn Pllc Clinical Neuropsychologist 255 Canyon Blvd Ste 300-f, Boulder, CO 80302-4979 2017-02-03
1972048098 Neurofeedback Colorado Springs, Inc. Clinical Neuropsychologist 2918 Beacon St Ste A, Colorado Springs, CO 80907-9208 2016-12-28
1720537467 Zachary Sussman Clinical Neuropsychologist 2501 Walnut St Ste 104, Boulder, CO 80302-5752 2016-09-22
1053781401 Valerie Sims Clinical Neuropsychologist 11705 Airport Way, Suite 301, Broomfield, CO 80021-2706 2015-09-28
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Competitor

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City SILVERTHORNE
Zip Code 80498

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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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