Andrew Jeremy Vandernoot, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26293 Issued in CA

Practice address

1000 Wilshire Blvd
Suite 240
Los Angeles, CA 90017-2457

Phone

(323) 806-7199

NPI assigned

Aug 27, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Institute for Psychotherapy and Assessment, IncGroup PAC ID 9638391949, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Crossroads Institute for Psychotherapy and Assessment, Inc

  • Clinical Psychologist
  • Torrance, CA
  • NPI 1831432806
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1043403785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N CURSON AVE",
            "address_2": "#204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464023",
            "telephone_number": "323-533-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WILSHIRE BLVD",
            "address_2": "SUITE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172457",
            "telephone_number": "323-806-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERNOOT",
        "first_name": "ANDREW",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veena Vanchinathan, M.D.
• Johanna Aida Vandemoortele, IBCLC
• Elizabeth Vandenbogaart, N.P.
• Darren Vanderhoff
• Erica Megan Vanderhyde, MSW, ACSW, RADT
• Nathan Tucker Vanderveen, MD
• Kelley Vandewalle
• Barbara Margaret Vandewiele, MD
• Amy Ruth Vandiver
• Matthew Scott Vandiver, M.D., PH.D.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.