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KEN VANDERLIP PH.D.
NPI 1225072143
Psychologist - Clinical in Fullerton, CA

Active since June 15, 2006Opted out of Medicare · through Apr 1, 2028
680 LANGSDORF DR, SUITE 202, FULLERTON, CA 92831(714) 385-1770(714) 997-0401 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ken Vanderlip Ph.d. NPPES

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

KEN VANDERLIP PH.D. (NPI 1225072143) is an individual clinical provider in Fullerton, California, licensed in California (PSY13314) and active in the NPI registry since June 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225072143
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKEN VANDERLIPCredential: PH.D.
Location Address680 LANGSDORF DR, SUITE 202Fullerton, CA 92831-3702
Mailing Address680 Langsdorf Dr, Suite 202Fullerton, CA 92831-3702 · (714) 385-1770 · Fax (714) 997-0401
Phone(714) 385-1770
Fax(714) 997-0401
Sole ProprietorYes
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225072143 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 · PSY13314
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.
680 LANGSDORF DR, Fullerton, CA 92831
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedCP13314CA
Medicare UPINR1619CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ken Vanderlip Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92831 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 20

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

CHILD GUIDANCE CENTER, INC.
Community/Behavioral Health
680 LANGSDORF DR, SUITE 200
FULLERTON, CA 92831
Orange County (714) 871-9264
ALEXANDER RICHTER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
680 LANGSDORF DR, SUITE 103
FULLERTON, CA 92831
Orange County (714) 879-0050
DAVID DOWNS MD
Orthopaedic Surgery
680 LANGSDORF DR, SUITE 103
FULLERTON, CA 92831
Orange County (714) 879-0050
KENDRA HIGGINS P.A.
Physician Assistant (Medical)
680 LANGSDORF DR, SUITE 103
FULLERTON, CA 92831
Orange County (714) 879-0050
MR. RONALD LEE CUNNINGHAM MPT
Physical Therapist
680 LANGSDORF DR, SUITE 100
FULLERTON, CA 92831
Orange County (714) 871-0460
DR. BETTY ANN HAMMOND PH.D
Psychologist (Clinical)
680 LANGSDORF DR, 219
FULLERTON, CA 92831
Orange County (714) 306-9168
STEPHANIE BAUTISTA
Student in an Organized Health Care Education/Training Program
680 LANGSDORF DR, SUITE 200
FULLERTON, CA 92831
Orange County (714) 953-4455
NANCY MARIE HYBL-BOSTWICK L.C.S.W.
Social Worker (Clinical)
680 LANGSDORF DR, SUITE 219
FULLERTON, CA 92831
Orange County (714) 578-0990

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 Ken Vanderlip's NPI number?

The NPI number for Ken Vanderlip is 1225072143. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Ken Vanderlip located?

Ken Vanderlip practices at 680 Langsdorf Dr Suite 202, Fullerton, CA 92831. The listed phone number is (714) 385-1770.

What is Ken Vanderlip's specialty?

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

Is Ken Vanderlip enrolled in Medicare?

No. Ken Vanderlip has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ken Vanderlip was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.