Individual provider Active NPI

Cristiana Marie Vanveelen, PH.D.

  • Clinical Neuropsychologist
  • Tucson, AZ
National Provider Identifier
1366677924
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
4023 Issued in AZ
Practice address
2650 N Wyatt Dr
Tucson, AZ 85712-6106
Phone
(520) 320-6230
Fax
(520) 322-3665
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4023 AZ Primary
Clinical Neuropsychologist 103G00000X PY 7784 FL

Addresses

Primary practice location

2650 N Wyatt Dr
Tucson, AZ 85712-6106

Mailing address

7461 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 352-9955

Other names 1

  • Dr. Cristiana Marie Klunder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 7784FLMDClinical Neuropsychologist
4023AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology LTD Clinical Neuropsychologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1366677924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-352-9955",
            "fax_number": "520-322-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126106",
            "telephone_number": "520-320-6230",
            "fax_number": "520-322-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVEELEN",
        "first_name": "CRISTIANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4023",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 7784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTIANA",
            "last_name": "KLUNDER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.