DR. JENNIFER ROSE VANDERBURG PSY.D
NPI 1871695866
Psychologist - Clinical in Huntington Beach, CA
NPI Status: Active since September 01, 2006
Contact Information
5762 BOLSA AVE
SUITE 107
HUNTINGTON BEACH, CA
ZIP 92649
Phone: (562) 804-5522
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About JENNIFER VANDERBURG
This page provides the complete NPI Profile along with additional information for Jennifer Vanderburg, a provider established in Huntington Beach, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1871695866 assigned on September 2006. The practitioner's primary taxonomy code is 103TC0700X with license number PSY 17308 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1871695866
- Provider Name
- DR. JENNIFER ROSE VANDERBURG PSY.D
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5762 BOLSA AVE SUITE 107 HUNTINGTON BEACH, CA 92649
- Location Phone
- (562) 804-5522
- Mailing Address
- PO BOX 15603 LONG BEACH, CA 90815
- Mailing Phone
- (562) 804-5522
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-01-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical psychologist like Jennifer Vanderburg assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jennifer Vanderburg opted out of Medicare effective on 08-09-2023 until 08-09-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY 17308
- License State
- CA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-09-2023
Opt-Out End Date: 08-09-2027
Eligible to Order and Refer? No
Reviews for DR. JENNIFER ROSE VANDERBURG PSY.D
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1871695866, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HUNTINGTON BEACH, CA 92649
HUNTINGTON BEACH, CA 92649
HUNTINGTON BEACH, CA 92649
HUNTINGTON BEACH, CA 92649
HUNTINGTON BEACH, CA 92649
HUNTINGTON BEACH, CA 92649
HUNTINGTON BEACH, CA 92649
HUNTINGTON BEACH, CA 92649
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871695866, enumerated as an "individual" on September 01, 2006.
The provider is located at 5762 BOLSA AVE SUITE 107 HUNTINGTON BEACH, CA 92649 and the phone number is (562) 804-5522.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
