Individual provider Active NPI

Jody Ann Veltkamp, PSY.D.

  • Psychologist
  • Bellingham, WA
National Provider Identifier
1447223763
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00002540 Issued in WA
Practice address
192 E Bakerview Road
Suite 102
Bellingham, WA 98226
Phone
(360) 676-7445
Fax
(360) 733-4339
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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 PY2540 WA
Psychologist 103T00000X PY00002540 WA Primary

Addresses

Primary practice location

192 E Bakerview Road
Suite 102
Bellingham, WA 98226

Mailing address

192 E Bakerview Road
Suite 102
Bellingham, WA 98226
Phone (360) 676-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20070522000266 WA Practitioner - Clinical Psychologist 0840397154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veltkamp NeuropsychologyGroup PAC ID 1658595053, 2 clinicians

Practice addresses (Care Compare)

1610 Grover St
Suite B10
Lynden, WA 98264-1539
Phone (360) 676-7445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY2540WAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Veltkamp Neuropsychology Clinical Neuropsychologist CurrentSince Jan 8, 2014 Accepting new patients
Reclaim Counseling Associates LLC PastSince Oct 6, 2019 Accepting new patients

Locations

192 E Bakerview Rd
Ste 102
Bellingham, WA 98226
Phone (360) 676-7445

1610 Grover St
Ste B10
Lynden, WA 98264
Phone (360) 676-7445

Organizations & group practices 2

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1447223763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 E BAKERVIEW ROAD",
            "address_2": "SUITE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-676-7445",
            "fax_number": "360-733-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E BAKERVIEW ROAD",
            "address_2": "SUITE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-676-7445",
            "fax_number": "360-733-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELTKAMP",
        "first_name": "JODY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY2540",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.