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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show John Vanderveen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah
1.3 mi
General Acute Care Hospital
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 144 clinicians in this Medicare group
NPI 1588656870 (801) 581-2121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-6393
DR. VANESSA B NIELSEN PHARMD
Pharmacist (Ambulatory Care)
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3934
HANNA NICOL APRN, DNP, FNP-C
Nurse Practitioner (Family)
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7761
DEEPIKA SANTOSH REDDY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 84108
Salt Lake County (254) 421-2672
JOSH TURNER PT
Physical Therapist (Orthopedic)
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7246
SANAA T. HUSAIN DO
Anesthesiology
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
DR. CAROLINE SUZANNE KELLEY PSYD
Psychologist (Clinical)
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7246
WHITNEY SMITH APRN, FNP-C
Nurse Practitioner (Family)
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7761

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 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.

Where is John Vanderveen located?

John Vanderveen practices at 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108. The listed phone number is (581) 801-7246.

What is John Vanderveen's specialty?

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

Is John Vanderveen enrolled in Medicare?

Yes. John Vanderveen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Vanderveen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Vanderveen reassigns Medicare benefits to University Of Utah (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Vanderveen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Vanderveen accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list John Vanderveen 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 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.