Robert Vandercook, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016986 Issued in PA

Practice address

610 Kings Hwy
Moorestown, NJ 08057-2620

Phone

(856) 630-7450

NPI assigned

Apr 22, 2011

Last updated

Apr 22, 2011By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Noah D Freedman MD PC

  dba Psych Choices of the Delaware Valley

  • Psychiatry Physician
  • Kew Gardens, NY
  • NPI 1295892644
  NPD (past)

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1225329493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 KINGS HWY",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572620",
            "telephone_number": "856-630-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 KINGS HWY",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572620",
            "telephone_number": "856-630-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERCOOK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Anita Valente, PA
• Nardin Valentin, DO
• Antonio Valone, D.O.
• Erin Van Wagner, PTA
• Delores Elizabeth Vandegrift, A.P.N.
• Vantage Eyecare, LLC
• Vantage Surgical Associates, LLC (Vantage Surgery Center)
• Susan Varevice-McAndrew, D.O.
• Amita Vasoya, D.O.
• Stephen G Vasso, M.D.

• Clinical Psychologist in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.