Vicki Jo Vander Zwart, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 41372 Issued in CA

Practice address

3435 Camino del Rio S
Suite 338
San Diego, CA 92108-3902

Phone

(858) 384-2255

Fax

(858) 384-2255

NPI assigned

Mar 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1508036179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S",
            "address_2": "SUITE 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083902",
            "telephone_number": "858-384-2255",
            "fax_number": "858-384-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S",
            "address_2": "SUITE 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083902",
            "telephone_number": "858-384-2255",
            "fax_number": "858-384-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER ZWART",
        "first_name": "VICKI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Paul Vander Hulst
• Marissa Rose Vander Missen
• Bryan Matthew Vander Schuur, M.D.
• Kathryn Vander Voort Wilson
• Robert Troy Vander Zwart, MFT
• Abigail Lynn Vandergriff, CNM
• Ryan Vandergriff, M.S., CF-SLP
• Gabrielle Analise Vanderham
• Gage Elizabeth Vandermeer, RN
• Marylyn O Vandermoer, MFT

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.