Dylan Vane, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY34980 Issued in CA

Practice address

2200 W 3Rd St Ste 500
Los Angeles, CA 90057-1938

Phone

(415) 252-1853

NPI assigned

Mar 11, 2008

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)

Not 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 and National Provider Directory roles.

• Baker Places, Inc.

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1811034689
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1275703787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E NEES AVE APT 133",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200933",
            "telephone_number": "415-707-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 3RD ST STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571938",
            "telephone_number": "415-252-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANE",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Vandewalle
• Barbara Margaret Vandewiele, MD
• Amy Ruth Vandiver
• Matthew Scott Vandiver, M.D., PH.D.
• Joel Vandlen
• Alexia Vanegas
• Judee Vanegas
• Maria Alexandra Vanegas
• Lauren Vaneman, SPEECH SPECIALIST
• Vanessa Evans, Inc.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.