Jeffrey a. Vander Kooi LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JEFFREY A. VANDER KOOI LLC

Doing business as

Jeffrey A. Vander Kooi LLC
VK Psychiatry

Practice address

16100 Chesterfield Pkwy W Ste 260
Chesterfield, MO 63017-4836

Phone

(636) 778-9427

Fax

(636) 778-9632

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A. Vander Kooi, M.D.NPI 1407881675

Title

Psychiatrist

Phone

(636) 778-9427

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Jeffrey A. Vander Kooi LLC Doing business as
• VK Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey A Vander Kooi, M.D.

  • Psychiatry Physician
  • Chesterfield, MO
  • NPI 1407881675
  Medicare reassignment Authorized official
• Dana Louise Vander Kooi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesterfield, MO
  • NPI 1790230019
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1588772487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 CHESTERFIELD PKWY W STE 260",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174836",
            "telephone_number": "636-778-9427",
            "fax_number": "636-778-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 CHESTERFIELD PKWY W STE 260",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174836",
            "telephone_number": "636-778-9427",
            "fax_number": "636-778-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. VANDER KOOI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "VANDER KOOI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "636-778-9427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201053204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey A. Vander Kooi LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jeffrey A. Vander Kooi LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VK Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Christina Jancy, PT
• Amanda J Janssen, CRNA
• Melanie Elaine Janssen, MSN
• Jerold S Jarchow, CRNA
• Jayhawk Hospitalists PA
• Jeffrey Zohner LLC
• Judith Marie Jeglijewski, APRN, BC, MS, CDE
• Jeremy Hodess LCSW LLC
• Adria Jerkovich, M.D.
• Debra J Jeske, MS, RD, LD

• Psychiatry Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.