Active NPI
Barbara A Vandermale, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704264429
- Practice address
- 854 Washington Ave Ste 330
Holland, MI 49423-7141 - Phone
- (616) 355-3926
- NPI assigned
- Jul 21, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704264429 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704264429 | MI | Primary |
Addresses
Primary practice location
854 Washington Ave Ste 330
Holland, MI 49423-7141
Mailing address
854 Washington Ave Ste 330
Holland, MI 49423-7141
Phone (616) 355-3926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Michigan State University College of Human Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
854 Washington Ave
330 Op Behavioral Health Services
Holland, MI 49423-7141
Phone (616) 355-3926
Hospital & facility affiliations
- Holland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704264429 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Past | Accepting new patients | |
| Holland Community Hospital | Past | Accepting new patients |
Locations
415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208
15100 Whittaker Way
Grand Haven, MI 49417
Phone (616) 935-6200
175 S Waverly Rd
Holland, MI 49423
Phone (616) 355-3896
854 Washington Ave
Bldg A
Holland, MI 49423
854 Washington Ave
Ste 330
Holland, MI 49423
Phone (616) 355-3926
577 Michigan Ave
Holland, MI 49423
Phone (616) 393-2190
577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
577 Michigan Ave
Ste 104
Holland, MI 49423
Phone (616) 355-3984
3235 N Wellness Dr
Ste 120B
Holland, MI 49424
Phone (616) 399-1369
8300 Westpark Way
Zeeland, MI 49464
Phone (616) 748-5760
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
- Internal Medicine Physician
- Holland, MI
- NPI 1720232697
-
- Pulmonary Disease Physician
- Holland, MI
- NPI 1477166502
-
- Otolaryngology Physician
- Holland, MI
- NPI 1982910857
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1124435276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 WASHINGTON AVE STE 330",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494237141",
"telephone_number": "616-355-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 WASHINGTON AVE STE 330",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494237141",
"telephone_number": "616-355-3926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMALE",
"first_name": "BARBARA",
"middle_name": "A",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704264429",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704264429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.