DR. KIMBERLY LISA VANDER DUSSEN PSY. D.
NPI 1003968066
Psychologist - Clinical in Placentia, CA

Q: What is Kimberly Vander Dussen's NPI number?

The NPI number for Kimberly Vander Dussen is 1003968066. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Kimberly Vander Dussen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 18, 2007

101 S KRAEMER BLVD STE 236, PLACENTIA, CA 92870(714) 329-6080(714) 491-7215 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kimberly Lisa Vander Dussen Psy. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY LISA VANDER DUSSEN PSY. D. (NPI 1003968066) is an individual clinical provider in Placentia, California, licensed in California (PSY17209) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1003968066

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KIMBERLY LISA VANDER DUSSENCredential: PSY. D.

Location Address101 S KRAEMER BLVD STE 236Placentia, CA 92870-6102

Mailing Address101 S Kraemer Blvd Ste 236Placentia, CA 92870-6102 · (714) 329-6080 · Fax (714) 491-7215

Phone(714) 329-6080

Fax(714) 491-7215

Sole ProprietorYes

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003968066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY17209

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

101 S KRAEMER BLVD STE 236, Placentia, CA 92870

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH MICHAEL CASTRO

Hearing Instrument Specialist

101 S KRAEMER BLVD STE 236
PLACENTIA, CA 92870

Orange County (714) 630-7800

CRYSTAL CLEAR HEARING CENTER INC

Hearing Instrument Specialist

101 S KRAEMER BLVD STE 236
PLACENTIA, CA 92870

Orange County (714) 630-7800

DR. ERIC TERRY PSY.D.

Psychologist (Clinical)

101 S KRAEMER BLVD STE 236
PLACENTIA, CA 92870

Orange County (562) 619-2571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Vander Dussen's NPI number?

The NPI number for Kimberly Vander Dussen is 1003968066. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Kimberly Vander Dussen located?

Kimberly Vander Dussen practices at 101 S Kraemer Blvd Ste 236, Placentia, CA 92870. The listed phone number is (714) 329-6080.

What is Kimberly Vander Dussen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kimberly Vander Dussen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.