DR. GARY VANN PH.D.
NPI 1376634519
Psychologist in Traverse City, MI

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
13561 SOUTH WEST BAYSHORE DR., STE. 317, TRAVERSE CITY, MI 49684(231) 947-2990(231) 947-5862 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary Vann Ph.d. NPPES

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

DR. GARY VANN PH.D. (NPI 1376634519) is an individual psychologist in Traverse City, Michigan, licensed in Michigan (008156) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1376634519
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GARY VANNCredential: PH.D.
Location Address13561 SOUTH WEST BAYSHORE DR., STE. 317Traverse City, MI 49684
Mailing Address13561 South West Bayshore Drive, Ste 317Traverse City, MI 49684 · (231) 947-2990 · Fax (231) 947-5862
Fax(231) 947-5862
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 5, 2015
NPI 1376634519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 008156
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
13561 SOUTH WEST BAYSHORE DR., Traverse City, MI 49684

Other Identifiers 3

Medicare ID-Type Unspecified0M84609MI
Other680B84609MI · Bcbs
Medicare UPINR65427MI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary Vann Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082898333
PECOS Enrollment IDI20110411000426
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.

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 Gary Vann's NPI number?

The NPI number for Gary Vann is 1376634519. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Gary Vann located?

Gary Vann practices at 13561 South West Bayshore Dr. Ste. 317, Traverse City, MI 49684. The listed phone number is (231) 947-2990.

What is Gary Vann's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Gary Vann enrolled in Medicare?

Yes. Gary Vann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gary Vann accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Gary Vann 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 Gary Vann was last updated on November 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.