DR. KENWANA MICHELLE VANDERBILT PSY.D.
NPI 1174864979
Psychologist - Clinical in Macon, GA

Q: What is Kenwana Vanderbilt's NPI number?

The NPI number for Kenwana Vanderbilt is 1174864979. It was assigned to this individual provider in the NPPES registry on March 5, 2013. The provider is also known as Dr. Kenwana Michelle Lewis Psy.D..

Q: What is Kenwana Vanderbilt's specialty?

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

Active since March 05, 2013

MACON OUTPATIENT CLINIC- 5398 THOMASTON RD., SUITE B, MACON, GA 31220(478) 476-8868(478) 476-8161 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kenwana Michelle Vanderbilt Psy.d. NPPES

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

DR. KENWANA MICHELLE VANDERBILT PSY.D. (NPI 1174864979) is an individual clinical provider in Macon, Georgia, licensed in Georgia (PSY003494) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1174864979

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KENWANA MICHELLE VANDERBILTCredential: PSY.D.

Location AddressMACON OUTPATIENT CLINIC- 5398 THOMASTON RD., SUITE BMacon, GA 31220

Mailing AddressMacon Outpatient Clinic- 5398 Thomaston Rd., Suite BMacon, GA 31220 · (478) 476-8868 · Fax (478) 476-8161

Phone(478) 476-8868

Fax(478) 476-8161

Sole ProprietorNo

Enumeration DateMarch 5, 2013

Last NPPES UpdateMarch 9, 2016

✔ NPI 1174864979 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 GA · PSY003494

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.

MACON OUTPATIENT CLINIC- 5398 THOMASTON RD., Macon, GA 31220

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Other Names 1

Former Name (1)Dr. Kenwana Michelle Lewis Psy.d.

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 Kenwana Vanderbilt's NPI number?

The NPI number for Kenwana Vanderbilt is 1174864979. It was assigned to this individual provider in the NPPES registry on March 5, 2013. The provider is also known as Dr. Kenwana Michelle Lewis Psy.D..

Where is Kenwana Vanderbilt located?

Kenwana Vanderbilt practices at Macon Outpatient Clinic- 5398 Thomaston Rd. Suite B, Macon, GA 31220. The listed phone number is (478) 476-8868.

What is Kenwana Vanderbilt's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenwana Vanderbilt was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.