Organization Active NPI

Veltkamp Neuropsychology

  • Clinical Neuropsychologist
  • Lynden, WA
National Provider Identifier
1639507205
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
VELTKAMP NEUROPSYCHOLOGY
Practice address
1610 Grover St Ste B10
Lynden, WA 98264-1539
Phone
(360) 676-7445
Fax
(360) 733-4339
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Authorized official

Name
Jody Ann Veltkamp, PSY.D.NPI 1447223763
Title
Neuropsychologist
Phone
(360) 676-7445

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
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

1610 Grover St Ste B10
Lynden, WA 98264-1539

Mailing address

1610 Grover St Ste B10
Lynden, WA 98264-1539
Phone (360) 676-7445

Other practice location 1

3400 Squalicum Pkwy Ste 105
Bellingham, WA 98225-1933
Phone (360) 319-8557

Other names 1

  • Veltkamp Neuropsychology, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140604001732 WA Part B Supplier - Clinic/Group Practice 1658595053 Receives reassigned benefits from 2 practitioners
Practice locations: Bellingham, WA; Lynden, WA

National Provider Directory

National Provider Directory

Locations

192 E Bakerview Rd
Ste 102
Bellingham, WA 98226
Phone (360) 676-7445

Practitioners & affiliated clinicians

Practitioners 5

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": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710547200000",
    "number": "1639507205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST STE B10",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-676-7445",
            "fax_number": "360-733-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST STE B10",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-676-7445",
            "fax_number": "360-733-4339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Squalicum Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251933",
            "country_code": "US",
            "telephone_number": "360-319-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VELTKAMP NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "VELTKAMP",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "360-676-7445",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veltkamp Neuropsychology, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.