DR. ANDREW JEREMY VANDERNOOT PH.D.
NPI 1043403785
Psychologist - Clinical in Los Angeles, CA

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment
1000 WILSHIRE BLVD, SUITE 240, LOS ANGELES, CA 90017(323) 806-7199 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1043403785
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREW JEREMY VANDERNOOTCredential: PH.D.
Location Address1000 WILSHIRE BLVD, SUITE 240Los Angeles, CA 90017-2457
Mailing Address1410 N Curson Ave, #204Los Angeles, CA 90046-4023 · (323) 533-9423
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 27, 2007
Last NPPES UpdateJune 17, 2015
NPI 1043403785 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 · PSY26293
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.

1000 WILSHIRE BLVD, Los Angeles, CA 90017

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9830406925
PECOS Enrollment IDI20150922003122
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Counseling)
1000 WILSHIRE BLVD, #240
LOS ANGELES, CA 90017

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.

When was this NPI record last updated?

The NPPES record for Andrew Vandernoot was last updated on June 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.