Active NPI
Anneke Lockwood Vandenbroek, PH.D.
- Psychologist
- Washington, DC
National Provider Identifier
1558696377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 726
- Practice address
- Walter Reed Army Medical Ctr
Department of Psychology
Washington, DC 20307-0001 - Phone
- (202) 782-0065
- NPI assigned
- Oct 13, 2009
- Last updated
- Oct 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 726 | HI | Primary |
Addresses
Primary practice location
Walter Reed Army Medical Ctr
Department of Psychology
Washington, DC 20307-0001
Mailing address
10421 Brookmoor Dr
Silver Spring, MD 20901-2603
Phone (301) 681-0183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 8, 2024 through Sep 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 726 | HI | MD | Psychologist |
| 05888 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1558696377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10421 BROOKMOOR DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209012603",
"telephone_number": "301-681-0183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED ARMY MEDICAL CTR",
"address_2": "DEPARTMENT OF PSYCHOLOGY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENBROEK",
"first_name": "ANNEKE",
"middle_name": "LOCKWOOD",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY 726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.