Active NPI
Kevin Vanlant, PH.D.
- Clinical Psychologist
- Los Alamitos, CA
National Provider Identifier
1952548216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY17368
- Practice address
- 5182 Katella Ave
Suite 202
Los Alamitos, CA 90720-2824 - Phone
- (562) 618-4429
- Fax
- (562) 799-1513
- NPI assigned
- Jan 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY17368 | CA | Primary |
Addresses
Primary practice location
5182 Katella Ave
Suite 202
Los Alamitos, CA 90720-2824
Mailing address
5182 Katella Ave
Suite 202
Los Alamitos, CA 90720-2824
Phone (562) 618-4429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 29, 2019 through Oct 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17368 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1952548216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5182 KATELLA AVE",
"address_2": "SUITE 202",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202824",
"telephone_number": "562-618-4429",
"fax_number": "562-799-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5182 KATELLA AVE",
"address_2": "SUITE 202",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202824",
"telephone_number": "562-618-4429",
"fax_number": "562-799-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLANT",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY17368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.