Cory Vanderhill

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Practice address

2150 N Tenaya Way
1212
Las Vegas, NV 89128-0402

Phone

(702) 412-5566

NPI assigned

Mar 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1396286761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N TENAYA WAY",
            "address_2": "APT# 1212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280402",
            "telephone_number": "702-412-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N TENAYA WAY",
            "address_2": "1212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280402",
            "telephone_number": "702-412-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHILL",
        "first_name": "CORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF NEVADA",
            "identifier": "1500151870",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000143106",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Vandenbosch, M.D.
• Michelle H Vandenbosch, MD
• Daniel Joseph Vandenhengel
• William Arend Vander Pols, MD
• Mary Ann Vander Veer, MA, LMHC
• Jaime Wilde Vanderlaan
• Gina Vanderlinden
• Jessie Andrew Vandermark
• Kamoya Shantasia Vandermark
• Darcy Vanderpool, M.A.

• Addiction (Substance Use Disorder) Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.