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DR. JILLON S. VANDER WAL NPI 1467669960


NPI Information

NPI: 1467669960
Provider Name: DR. JILLON S. VANDER WAL
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
4801 E LINWOOD BLVD
KANSAS CITY, MO
ZIP 64128
Phone: (816) 861-4700
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DR. Jillon S. Vander Wal is a clinical psychologist in Kansas City, MO. The provider is 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. DR. Jillon S. Vander Wal NPI is 1467669960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4801 E LINWOOD BLVD
KANSAS CITY, MO
ZIP 64128-226
Phone: (816) 861-4700

The enumeration date for this NPI number is 5/16/2007 and was last updated on 5/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral2004021723MISSOURINo
2103TB0200XPsychologistCognitive & BehavioralLP03007KANSASNo
3103TC0700XPsychologistClinical2004021723MISSOURINo
4103TH0100XPsychologistHealth ServiceLP03007KANSASNo
5103TH0100XPsychologistHealth Service2004021723MISSOURINo
6103TC0700XPsychologistClinicalLP03007KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.