Ann Louise Vandermaelen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

000901 Issued in CT

Practice address

191 Main St
Suite 2
Old Saybrook, CT 06475-2332

Phone

(860) 388-3844

Fax

(860) 388-1689

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eileen F Borowski PHD PC

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1245572932
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003845546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 OLDE ORCHARD RD",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131100",
            "telephone_number": "860-669-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "address_2": "SUITE 2",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752332",
            "telephone_number": "860-388-3844",
            "fax_number": "860-388-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMAELEN",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Tingley, MD
• Claudia Titelman, PHD
• Lisa Uihlein
• Judith Ulrich
• Margaret Vanderlin, APRN
• Nicholas Paul Vezzoli, OD
• Domigo Rene Vicedomini, H.I.S.
• Kevin M. Wakeham, D.P.M.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2898)
• Janet Walker, PSY.D.

• Clinical Psychologist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.