DR. KIMBERLY GERISSE VANDALE PH.D.
NPI 1053633974
Psychologist in Mount Clemens, MI
About Dr. Kimberly Gerisse Vandale Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY GERISSE VANDALE PH.D. (NPI 1053633974) is an individual psychologist in Mount Clemens, Michigan, licensed in Michigan (6301014352) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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. Kimberly Gerisse Vandale 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 Kimberly Vandale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 2 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.
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.
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
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 Vandale's NPI number?
The NPI number for Kimberly Vandale is 1053633974. It was assigned to this individual provider in the NPPES registry on February 19, 2010.
Where is Kimberly Vandale located?
Kimberly Vandale practices at 116 Market St Perceptions Counseling Services, Mount Clemens, MI 48043. The listed phone number is (586) 465-4444.
What is Kimberly Vandale's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kimberly Vandale enrolled in Medicare?
Yes. Kimberly Vandale 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 Kimberly Vandale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Vandale reassigns Medicare benefits to Perceptions Counseling Services, P.C. (Mount Clemens, MI). 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 Kimberly Vandale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Vandale accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Kimberly Vandale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimberly Vandale was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.