Jeffrey Michael Vance, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

11563 Issued in NE

Practice address

2237 Ridge Rd Ste 101
Rockwall, TX 75087-5161

Phone

(972) 771-3969

Fax

(972) 771-8258

NPI assigned

Jul 19, 2018

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

Enrolled in TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Robert F Mehl III PHD and Assoc LLCGroup PAC ID 7618950296, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Robert F Mehl III PHD & Assoc LLC

  • Multi-Specialty Clinic/Center
  • Rockwall, TX
  • NPI 1912999715
  Medicare reassignment Care Compare group NPD
• Immaculate Heart of Mary Counseling Center

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1982618328
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1235615592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 RIDGE RD STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875161",
            "telephone_number": "972-771-3969",
            "fax_number": "972-771-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 RIDGE RD STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875161",
            "telephone_number": "972-771-3969",
            "fax_number": "972-771-8258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Sheridan Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685066100",
            "country_code": "US",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "11563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Paul Valentine, DC
• Lindsay Ann Valle, FNP-C
• Valley of Hope Healthcare Services LLC
• Jeanne Van Amburgh, LPT
• Huyen Trang Van, MD
• Rose Marie Vance, LICENSED MIDWIFE
• Courtney Violet Vandermay, DPT
• Andrea T Vanderpool, PH.D.
• Ashley Vandiver, RBT-25-422942
• Fryda Sofia Vargas

• Psychologist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.