Active NPI
Vander Dussen & Associates Psychological Corporation
- Psychologist
- Placentia, CA
National Provider Identifier
1508780594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- VANDER DUSSEN & ASSOCIATES PSYCHOLOGICAL CORPORATION
- Practice address
- 101 S Kraemer Blvd Ste 114
Placentia, CA 92870-6109 - Phone
- (714) 329-6080
- NPI assigned
- Aug 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Vander Dussen, PSY.D.
- Title
- Owner
- Phone
- (714) 329-6080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
101 S Kraemer Blvd Ste 114
Placentia, CA 92870-6109
Mailing address
101 S Kraemer Blvd Ste 114
Placentia, CA 92870-6109
Phone (714) 329-6080
National Provider Directory
National Provider DirectoryLocations
101 S Kraemer Blvd
Ste 114
Placentia, CA 92870
Phone (714) 253-4104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Placentia, CA
- NPI 1003968066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785888000000",
"number": "1508780594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S KRAEMER BLVD STE 114",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706109",
"telephone_number": "714-329-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S KRAEMER BLVD STE 114",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706109",
"telephone_number": "714-329-6080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANDER DUSSEN & ASSOCIATES PSYCHOLOGICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A",
"authorized_official_last_name": "VANDER DUSSEN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-329-6080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.