Janice Alberdiena Vanniel, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1777-057 Issued in WI

Practice address

7807 15TH Ave
Kenosha, WI 53143-5913

Phone

(262) 656-1531

Fax

(262) 654-2031

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• Sue Panger & Associates, SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1205034535

  Clinical

  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497957724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 15TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435913",
            "telephone_number": "262-656-1531",
            "fax_number": "262-654-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 15TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435913",
            "telephone_number": "262-656-1531",
            "fax_number": "262-654-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNIEL",
        "first_name": "JANICE",
        "middle_name": "ALBERDIENA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1777-057",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTER",
            "identifier": "42444",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPQ-ASPPB",
            "identifier": "3568",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therese Vanbuskirk
• Robyn Louise Vande Berg, COTA/L
• Heidi Vandenberg
• Marcia Joan Vandenheuvel, PT
• Joely Vanlaarhoven, LPC-IT
• Timothy Francis Vanpamel
• Shalini Varma, MD
• Hardik A Vashi, DO
• Codie Jordan Vassar, M.D
• Jeanne Sue Vedder, M.D.

• Clinical Psychologist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.