Eileen M Vandergrift, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006856L Issued in PA

Practice address

4162 Westcliffe CT
Boulder, CO 80301-1759

Phone

(303) 593-2201

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1467503219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4162 WESTCLIFFE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011759",
            "telephone_number": "303-593-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4162 WESTCLIFFE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011759",
            "telephone_number": "303-593-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIFT",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006856L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "783861",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783861",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Pleasants Vandenbergh, LMFT
• Jacqueline Sue Vandenbovenkamp, MA-LPC-ATR
• Kyle Vandenbroucke, LPCC
• Darcy Vanderbie-Pace, MS PT
• Brandy Penelope Vanderburg
• Jan Michal Vanderlinden, L.AC.
• Julie Ann Vanduine, FNP
• Patrick Ross Vann, PHD
• Meghan Wells Vanvleet, ND
• Jill R. Vanwyk, M.D.

• Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.