DR. ANDREW JEREMY VANDERNOOT PH.D.
NPI 1043403785
Psychologist - Clinical in Los Angeles, CA
About Dr. Andrew Jeremy Vandernoot Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW JEREMY VANDERNOOT PH.D. (NPI 1043403785) is an individual clinical provider in Los Angeles, California, licensed in California (PSY26293) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Andrew Jeremy Vandernoot Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Vandernoot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Torrance, CA 90505
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrew Vandernoot's NPI number?
The NPI number for Andrew Vandernoot is 1043403785. It was assigned to this individual provider in the NPPES registry on August 27, 2007.
Where is Andrew Vandernoot located?
Andrew Vandernoot practices at 1000 Wilshire Blvd Suite 240, Los Angeles, CA 90017. The listed phone number is (323) 806-7199.
What is Andrew Vandernoot's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Andrew Vandernoot enrolled in Medicare?
Yes. Andrew Vandernoot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Andrew Vandernoot's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Vandernoot reassigns Medicare benefits to Crossroads Institute For Psychotherapy And Assessment, Inc (Torrance, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Vandernoot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Vandernoot was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Andrew Jeremy Vandernoot, PH.D. · NPI 1043403785
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 27, 2007.
## Identity
- **NPI:** 1043403785 (Entity type: Individual)
- **Enumerated:** August 27, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY26293 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 WILSHIRE BLVD, SUITE 240, Los Angeles, CA 90017-2457
- **Phone:** (323) 806-7199
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Crossroads Institute For Psychotherapy And Assessment, Inc (NPI 1831432806, Torrance, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** June 17, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1043403785) · Data from the CMS NPPES public registry.