DR. KIMBERLY SUE VANHAITSMA PH.D
NPI 1063655371
Psychologist - Clinical in North Wales, PA

Q: What is Kimberly Vanhaitsma's NPI number?

The NPI number for Kimberly Vanhaitsma is 1063655371. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Q: What is Kimberly Vanhaitsma's specialty?

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

Active since April 16, 2009

1425 HORSHAM RD, NORTH WALES, PA 19454(215) 371-1895(215) 371-3015 Get Directions Write a Review

NPPES record last updated: April 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kimberly Sue Vanhaitsma Ph.d NPPES

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

DR. KIMBERLY SUE VANHAITSMA PH.D (NPI 1063655371) is an individual clinical provider in North Wales, Pennsylvania, licensed in Pennsylvania (PS006311L) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1063655371

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KIMBERLY SUE VANHAITSMACredential: PH.D

Location Address1425 HORSHAM RDNorth Wales, PA 19454-1320

Mailing Address388 Cobbler CtYardley, PA 19067-4752 · (215) 371-1895 · Fax (215) 371-3015

Phone(215) 371-1895

Fax(215) 371-3015

Sole ProprietorYes

Enumeration DateApril 16, 2009

✔ NPI 1063655371 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 PA · PS006311L

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.

1425 HORSHAM RD, North Wales, PA 19454

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Other Identifiers 2

Medicaid01539769PA

Medicare OSCAR/certificationVA632204PA

Other Providers at the Same Location NPPES 20

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

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