Vanderburg Psychological, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

VANDERBURG PSYCHOLOGICAL, INC.

Doing business as

Jennifer Vanderburg, Psy.D

Practice address

3551 Florista St Ste 1D
Los Alamitos, CA 90720-2488

Phone

(562) 489-7981

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Vanderburg, PSY.D

Title

Clinical Psychologist

Phone

(562) 572-5964

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Vanderburg, Psy.D Doing business as

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1801421599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 FLORISTA ST STE 1D",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202488",
            "telephone_number": "562-489-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FLORISTA ST STE 1D",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202488",
            "telephone_number": "562-489-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBURG PSYCHOLOGICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "VANDERBURG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "562-572-5964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Vanderburg, Psy.D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Valentino, LCSW
• Monique Adrianne Valle, AMFT
• Grietje Van Dyk, MD
• Robert L Vande Steeg, PHD
• Jacquelyn Lee Vander Wall, M.D.
• Kevin Vanlant, PH.D.
• Cindy Vann, LCSW
• Bruce Edwin Vannatta, MD
• Fatima Vargas
• Hiral Gaurav Vasa, DPT

• Clinical Psychologist in Los Alamitos, CA
• Providers in Los Alamitos, 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 3, 2020; 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.