Individual provider Active NPI

Kristin Van Doren, PSY.D.

  • Clinical Psychologist
  • King of Prussia, PA
National Provider Identifier
1871821959
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016748 Issued in PA
Practice address
2000 Valley Forge Cir Ste 103
King of Prussia, PA 19406-4538
Phone
(610) 878-9330
Fax
(610) 878-9331
NPI assigned
Nov 30, 2009
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016748 PA Primary

Addresses

Primary practice location

2000 Valley Forge Cir Ste 103
King of Prussia, PA 19406-4538

Mailing address

20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone (610) 878-9330

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20151125000095 PA Practitioner - Clinical Psychologist 2769782622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center LLCGroup PAC ID 9830409226, 23 clinicians

Practice addresses (Care Compare)

1517 McDaniel Dr
West Chester, PA 19380-7037
Phone (610) 878-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016748PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center, LLC Clinical CurrentSince Oct 1, 2015 Accepting new patients
The Centered Life Project Past Accepting new patients

Locations

133 Ivy Ln
King of Prussia, PA 19406
Phone (610) 659-3763

20134 Valley Forge Cir
Kng of Prussa, PA 19406
Phone (610) 878-9330

1517 McDaniel Dr
West Chester, PA 19380
Phone (610) 878-9330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1871821959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20134 VALLEY FORGE CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061112",
            "telephone_number": "610-878-9330",
            "fax_number": "267-552-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VALLEY FORGE CIR STE 103",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064538",
            "telephone_number": "610-878-9330",
            "fax_number": "610-878-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DOREN",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.