Kim E. Vangeffen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

453 Issued in LA

Practice address

141 W. Harrison Avenue
Suite C
New Orleans, LA 70124-7012

Phone

(504) 286-1424

Fax

(504) 286-1423

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in LA

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, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1396827531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W. HARRISON AVENUE",
            "address_2": "SUITE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242552",
            "telephone_number": "504-286-1424",
            "fax_number": "504-286-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W. HARRISON AVENUE",
            "address_2": "SUITE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701247012",
            "telephone_number": "504-286-1424",
            "fax_number": "504-286-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGEFFEN",
        "first_name": "KIM",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "453",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy S Vander Velde, M.D.
• Joel A Vanderlick, LCSW
• Nathan Vanderveer-Harris
• Melissa Lynn Vandiver, MN-FNP
• Russell Barrett Vandyke, MD
• Colin Vanhook
• Meghana Naga Vankina, MD
• Richard Vanlangendonck Jr., MD
• Roeland A Vanopijnen, MD
• Vanspire Counseling Services

• Clinical Psychologist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.