DR. JEFFREY MICHAEL VANCE (PH.D.) – Psychologist, NPI 1235615592

DR. JEFFREY MICHAEL VANCE (PH.D.) is a healthcare provider. based in Rockwall, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 11563 (NE). The NPI Number for DR. JEFFREY MICHAEL VANCE (PH.D.) is 1235615592

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY MICHAEL VANCE (PH.D.)
NPI
1235615592
Phone
(972) 771-3969
Address
2237 RIDGE RD STE 101
Enumeration Date
19 July 2018
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9727713969
Graduation Year
2019 (7 years ago)
PAC ID
2860800133
Group Practice PAC ID
7618950296
Professional Enrollment ID
I20210427000114
Address ID
TX750875161RO2237XRDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

200 CLINICAL PSYCHOLOGIST in NE

Provider Addresses for DR. JEFFREY MICHAEL VANCE (PH.D.)

  • 2237 RIDGE RD STE 101

    ROCKWALL, TX 750875161

    Phone: (972) 771-3969

    Fax: (972) 771-8258

    Type: Mailing

  • 3700 Sheridan Blvd Ste 1

    Lincoln, NE 685066100

    Phone: (402) 489-1834

    Fax: (402) 489-2046

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210427000114IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour9512$0
View full utilization report →

Insurance plans in this area (ZIP 75087)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618950296View full group profile
NameSpecialtyState
Clinical PsychologistTX
-TX
Clinical PsychologistKY
Clinical PsychologistTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

Does DR. JEFFREY MICHAEL VANCE (PH.D.) have a public NPI I can cite?
Public records show DR. JEFFREY MICHAEL VANCE (PH.D.) under NPI 1235615592.
Does the public listing show DR. JEFFREY MICHAEL VANCE (PH.D.) as active?
DR. JEFFREY MICHAEL VANCE (PH.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JEFFREY MICHAEL VANCE (PH.D.) does?
Insurance directories may phrase it differently, but here DR. JEFFREY MICHAEL VANCE (PH.D.) maps to Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JEFFREY MICHAEL VANCE (PH.D.)?
DR. JEFFREY MICHAEL VANCE (PH.D.) shows a connection to Rockwall, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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