Active NPI
Hendrika Vande Kemp, PHD
- Clinical Psychologist
- Annandale, VA
National Provider Identifier
1033103650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003170
- Practice address
- 7815 Rebel Dr
Annandale, VA 22003-1429 - Phone
- (703) 698-8881
- NPI assigned
- Sep 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003170 | VA | Primary |
| Clinical Psychologist | 103TC0700X | 6311 | CA |
Addresses
Primary practice location
7815 Rebel Dr
Annandale, VA 22003-1429
Mailing address
7815 Rebel Dr
Annandale, VA 22003-1429
Phone (703) 698-8881
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 709267 | Other | VA | NATIONAL CAPITAL PPO |
| 700715 | Other | VA | AETNA/MAGELLAN PIN NUMBER |
| 515346 | Other | VA | VALUE OPTIONS/ELC |
| 516840 | Other | VA | VALUEOPTIONS/PCUSA |
| G615 0001 | Other | VI | CAREFIRST BCBS # |
| 278370 | Other | VA | ANTHEM BCBS IDENTIFICATIO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6311 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033103650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7815 REBEL DR",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031429",
"telephone_number": "703-698-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7815 REBEL DR",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031429",
"telephone_number": "703-698-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDE KEMP",
"first_name": "HENDRIKA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003170",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "6311",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CAPITAL PPO",
"identifier": "709267",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/MAGELLAN PIN NUMBER",
"identifier": "700715",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS/ELC",
"identifier": "515346",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS/PCUSA",
"identifier": "516840",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS #",
"identifier": "G615 0001",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS IDENTIFICATIO",
"identifier": "278370",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.