Cheryl Van Der Zaag, CHERYL VAN DER ZAAG

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16347 Issued in CA

Practice address

427 S Marengo Ave Ste 6
Pasadena, CA 91101-3134

Phone

(626) 441-5080

NPI assigned

Oct 23, 2006

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

Other identifiers 1

Other names 1

• Cheryl Andrues Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578646394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S MARENGO AVE STE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013134",
            "telephone_number": "626-441-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S MARENGO AVE STE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013134",
            "telephone_number": "626-441-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Fair Oaks Ave",
            "address_2": "Suite 374",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910302630",
            "country_code": "US",
            "telephone_number": "626-441-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DER ZAAG",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "CHERYL VAN DER ZAAG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CP16347",
            "identifier": "PSY16347",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "ANDRUES",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Valtierra
• Paul Alan Van Antwerp
• Weston Van Buskirk Barter
• Andre Van Commenee, P.T.
• Lilit Van Den Berg, MSW
• Alex Van Fleet
• Melissa Van Fossen
• Olivia Rose Van Sky
• Craig Arthur Van Woerkom, O.D.
• Stephanie Anne Van Zant

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.