DR. JILLON S. VANDER WAL
NPI 1467669960
Psychologist - Clinical in Kansas City, MO

Q: What is Jillon Vander Wal's NPI number?

The NPI number for Jillon Vander Wal is 1467669960. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Jillon Vander Wal'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 Jillon Vander Wal was last updated on May 31, 2022. 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 May 16, 2007

4801 E LINWOOD BLVD, KANSAS CITY, MO 64128(816) 861-4700 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jillon S. Vander Wal NPPES

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

DR. JILLON S. VANDER WAL (NPI 1467669960) is an individual clinical provider in Kansas City, Missouri, licensed in Kansas (LP03007) and active in the NPI registry since May 2007. She maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1467669960

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JILLON S. VANDER WAL

Location Address4801 E LINWOOD BLVDKansas City, MO 64128-2226

Mailing Address14934 S Turnberry StOlathe, KS 66061-6033 · (314) 255-6703

Phone(816) 861-4700

Sole ProprietorNo

Enumeration DateMay 16, 2007

Last NPPES UpdateMay 31, 2022

NPPES CertifiedJanuary 27, 2022

✔ NPI 1467669960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in KS · LP03007✔ Licensed in MO · 2004021723

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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 2004021723 (MO), LP03007 (KS)

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License LP03007 (KS), 2004021723 (MO)

4801 E LINWOOD BLVD, Kansas City, MO 64128

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Secondary Practice Location 1

Location 110555 Marty StOverland Park, KS 66212-2555 · Phone (913) 956-6212

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.

RICHARD ANTHONY ANTUNES JR. PHARMD

Pharmacist