DR. KIMBERLY GERISSE VANDALE PH.D.
NPI 1053633974
Psychologist in Mount Clemens, MI

Active since February 19, 2010PECOS EnrolledAccepts Medicare Assignment
116 MARKET ST, PERCEPTIONS COUNSELING SERVICES, MOUNT CLEMENS, MI 48043(586) 465-4444(586) 783-2761 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1053633974
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIMBERLY GERISSE VANDALECredential: PH.D.
Location Address116 MARKET ST, PERCEPTIONS COUNSELING SERVICESMount Clemens, MI 48043-5674
Mailing Address116 Market St, Perceptions Counseling ServicesMount Clemens, MI 48043-5674 · (586) 465-4444 · Fax (586) 783-2761
Fax(586) 783-2761
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2007
Enumeration DateFebruary 19, 2010
Last NPPES UpdateFebruary 9, 2011
NPI 1053633974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301014352
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
116 MARKET ST, Mount Clemens, MI 48043

Accepted Insurance

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. 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.

PECOS PAC ID9830343359
PECOS Enrollment IDI20130211000381
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.

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.

Community/Behavioral Health
116 MARKET ST
MOUNT CLEMENS, MI 48043
Psychologist (Clinical)
116 MARKET ST
MOUNT CLEMENS, MI 48043
Social Worker (Clinical)
116 MARKET ST
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.

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, Providence Health Plan 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.