Jeffrey A Vander Kooi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2004035420 Issued in MO

Practice address

16100 Chesterfield Pkwy W Ste 260
Chesterfield, MO 63017-4836

Phone

(636) 778-9427

Fax

(636) 778-9632

NPI assigned

Jul 12, 2006

Last updated

May 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jeffrey A Vander Kooi Other name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

University of Iowa, RJ & L Carver College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey a. Vander Kooi LLC

  dba VK Psychiatry

  • Psychiatry Physician
  • Chesterfield, MO
  • NPI 1588772487
  Medicare reassignment Authorized official
• L Peter Zhang MD LLC

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1093823833
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1407881675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 CHESTERFIELD PKWY W STE 260",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174836",
            "telephone_number": "636-778-9427",
            "fax_number": "636-778-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 CHESTERFIELD PKWY W STE 260",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174836",
            "telephone_number": "636-778-9427",
            "fax_number": "636-778-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER KOOI",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2004035420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1588772487",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "VANDER KOOI",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Albert L Van Amburg III, M.D.
• Megan Van Horn, PHARM.D
• Julie C Vancardo, O.D.
• Jamie Leigh Vance, CRNA
• Dana Louise Vander Kooi, NP
• Holly Vanderschaaf
• Nancy Vandervort
• Anna B Vanvoorhis, OT
• Chandra Varadachari, M.D.
• Rangasami Varadachari, M.D

• Psychiatry Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Psychiatry Physician in Missouri

• 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.
• 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.