Iris Vandalen

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

147582 Issued in CA

Practice address

4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165

Phone

(707) 327-0909

NPI assigned

Aug 20, 2025

Last updated

Aug 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1225915226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 FORBES AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 SONOMA HWY STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094165",
            "telephone_number": "707-327-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDALEN",
        "first_name": "IRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "147582",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "147582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Elizabeth Van Zandt, DPT
• David G Vanarsdale, RAS
• Hailey Vance, RDN
• Judith C. Vance
• Robyn Leah Vance
• Kirsten Vandelaarschot
• Barbara Drew Vandell, PSY.D.
• Julia Vander Vennet
• Sonya A. Vanderheiden, MD
• Christopher Nhiawa Vang, PHARMD

• Clinical Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.