Organization Active NPI

Thomas H. Vandoren

  • Psychosomatic Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1124244157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
TV033744 Issued in MI
Legal business name
THOMAS H. VANDOREN
Practice address
5320 Holiday Ter Ste 3
Kalamazoo, MI 49009-2100
Phone
(269) 353-3503
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Van DorenNPI 1871515106
Title
Owner
Phone
(269) 353-3503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0015X TV033744 MI Primary

Addresses

Primary practice location

5320 Holiday Ter Ste 3
Kalamazoo, MI 49009-2100

Mailing address

5320 Holiday Ter
Kalamazoo, MI 49009-2100
Phone (269) 353-3503

National Provider Directory

National Provider Directory

Locations

5320 Holiday Ter
Ste 3
Kalamazoo, MI 49009
Phone (269) 336-5505

5320 Holiday Ter
Kalamazoo, MI 49009
Phone (269) 544-2460

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124244157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 HOLIDAY TER",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092100",
            "telephone_number": "269-353-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 HOLIDAY TER STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092100",
            "telephone_number": "269-353-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. VANDOREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN DOREN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-353-3503",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "MI",
            "license": "TV033744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.