Active NPI
Danny K Vandivier, PHD
- Psychologist
- Louisville, KY
National Provider Identifier
1902007495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0528
- Practice address
- 903 Baxter Ave
Louisville, KY 40204-2046 - Phone
- (502) 458-7366
- Fax
- (502) 458-7362
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0528 | KY | Primary |
Addresses
Primary practice location
903 Baxter Ave
Louisville, KY 40204-2046
Mailing address
903 Baxter Ave
Louisville, KY 40204-2046
Phone (502) 458-7366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000050056 | Other | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0528 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vandivier and Associates PSC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Louisville, KY
- NPI 1861583361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902007495",
"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": {
"last_name": "VANDIVIER",
"first_name": "DANNY",
"middle_name": "K",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "0528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000050056",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.