Organization Active NPI

Vander Dussen & Associates Psychological Corporation

  • Psychologist
  • Placentia, CA
National Provider Identifier
1508780594
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Aug 5, 2026

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.NPI 1003968066
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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.