Vandivier and Associates PSC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

VANDIVIER AND ASSOCIATES PSC

Practice address

903 Baxter Ave
Louisville, KY 40204-2046

Phone

(502) 458-7366

Fax

(502) 458-7362

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan K. Vandivier, PHD

Title

Owner

Phone

(502) 458-7366

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah E Jackson, M.A.

  • Psychologist
  • Louisville, KY
  • NPI 1609988294
  NPD (past)
• Mary K Thompson, PHD

  • Psychologist
  • Louisville, KY
  • NPI 1003017591
  NPD (past)
• Danny K Vandivier, PHD

  • Psychologist
  • Louisville, KY
  • NPI 1902007495
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861583361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042046",
            "telephone_number": "502-458-7366",
            "fax_number": "502-458-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BAXTER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042046",
            "telephone_number": "502-458-7366",
            "fax_number": "502-458-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDIVIER AND ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDIVIER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-458-7366",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000060157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Vanderespt
• Kimberly Marie Vanderespt, APRN
• Leah Vanderwerp
• Diana Dawn Vandeveer, LCSW
• Tasha Vandeventer
• Danny K Vandivier, PHD
• Michelle Vanegas, MS OTR/L
• Erik William Vaneperen, MD
• Alexander X Vanfleet
• Vanguard Supports of Louisville LLC

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.