DR. AUDREY HOPE VAN VOOLEN PH.D.
NPI 1841350113
Psychologist - Clinical in Skaneateles, NY

Q: What is Audrey Van Voolen's NPI number?

The NPI number for Audrey Van Voolen is 1841350113. It was assigned to this individual provider in the NPPES registry on December 9, 2006. The provider is also known as Audrey Van Voolen Kissel Ph.D..

Q: What is Audrey Van Voolen's specialty?

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

Q: Is Audrey Van Voolen enrolled in Medicare?

No. Audrey Van Voolen has opted out of Medicare through June 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Audrey Van Voolen was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 09, 2006Opted out of Medicare · through Jun 14, 2027

3460 COUNTRY LINE ROAD, SKANEATELES, NY 13152(315) 415-0157 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 14, 2019, Jan 27, 2017 (2 updates tracked since 2017).

On this page

About Dr. Audrey Hope Van Voolen Ph.d. NPPES

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

DR. AUDREY HOPE VAN VOOLEN PH.D. (NPI 1841350113) is an individual clinical provider in Skaneateles, New York, licensed in New York (015308) and active in the NPI registry since December 2006. She has opted out of Medicare through June 14, 2027.

NPPES Registry Identity

NPI1841350113

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AUDREY HOPE VAN VOOLENCredential: PH.D.

Location Address3460 COUNTRY LINE ROADSkaneateles, NY 13152

Mailing Address3460 Country Line RoadSkaneateles, NY 13152 · (315) 415-0157

Phone(315) 415-0157

Sole ProprietorYes

Enumeration DateDecember 9, 2006

Last NPPES UpdateMay 14, 20192 updates tracked since enumeration

✔ NPI 1841350113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 015308✔ Licensed in NY · 015308-1

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.

3460 COUNTRY LINE ROAD, Skaneateles, NY 13152

Open in Google Maps ↗

Other Names 1

Former Name (1)Audrey Van Voolen Kissel Ph.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Audrey Hope Van Voolen 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 June 14, 2023 through June 14, 2027.

Opt-Out Effective DateJune 14, 2023

Opt-Out In Effect ThroughJune 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Audrey Van Voolen's NPI number?

The NPI number for Audrey Van Voolen is 1841350113. It was assigned to this individual provider in the NPPES registry on December 9, 2006. The provider is also known as Audrey Van Voolen Kissel Ph.D..

Where is Audrey Van Voolen located?

Audrey Van Voolen practices at 3460 Country Line Road, Skaneateles, NY 13152. The listed phone number is (315) 415-0157.

What is Audrey Van Voolen's specialty?

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

Is Audrey Van Voolen enrolled in Medicare?

No. Audrey Van Voolen has opted out of Medicare through June 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Audrey Van Voolen was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.