JOHN DAVIS VANDERVEEN PHD
NPI 1235788480
Psychologist - Clinical in Salt Lake City, UT

Q: What is John Vanderveen's NPI number?

The NPI number for John Vanderveen is 1235788480. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Q: What is John Vanderveen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Vanderveen was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 10, 2019PECOS Enrolled

615 S ARAPEEN DR STE 100, SALT LAKE CITY, UT 84108(581) 801-7246 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2021, Sep 12, 2019 (2 updates tracked since 2019).

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About John Davis Vanderveen Phd NPPES

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

JOHN DAVIS VANDERVEEN PHD (NPI 1235788480) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (11176091-2501) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235788480

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJOHN DAVIS VANDERVEENCredential: PHD

Location Address615 S ARAPEEN DR STE 100Salt Lake City, UT 84108-1239

Mailing Address1155 E 2100 S Apt 6312Salt Lake City, UT 84106-6809 · (248) 736-1422

Phone(581) 801-7246

Sole ProprietorNo

Enumeration DateSeptember 10, 2019

Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1235788480 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 UT · 11176091-2501

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.

615 S ARAPEEN DR STE 100, Salt Lake City, UT 84108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Davis Vanderveen Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of behavior impacting health in group setting, each additional 30 minutes 96165

This treatment involves group sessions aimed at addressing behaviors impacting health. Each additional half-hour allows for deeper exploration of these behaviors and learning new strategies for change. It's a supportive environment for shared learning and growth.

78 services11 patients

Treatment of behavior impacting health in group setting, initial 30 minutes 96164

This is a group therapy session focusing on behaviors that affect health. In the initial 30 minutes, individuals share experiences and learn strategies to manage these behaviors. It's a supportive, confidential environment for personal growth and change.

39 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 13

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

ZACHARY R. JERGENSEN MD

Anesthesiology