JOHN DAVIS VANDERVEEN (PHD) – Clinical Psychologist, NPI 1235788480
Clinical Psychologist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOHN DAVIS VANDERVEEN (PHD)
1155 E 2100 S APT 6312
SALT LAKE CITY, UT 841066809
Phone: (248) 736-1422
Type: Mailing
615 S ARAPEEN DR STE 100
SALT LAKE CITY, UT 841081239
Phone: (581) 801-7246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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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: 2019-11-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191119001141 | I | Clinical Psychologist | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96165 | Treatment of behavior impacting health in group setting, each additional 30 minutes | 194 | 16 | $0 |
| 96164 | Treatment of behavior impacting health in group setting, initial 30 minutes | 70 | 16 | $0 |
| 96159 | Treatment of behavior impacting health, each additional 15 minutes | 32 | 13 | $0 |
| 96158 | Treatment of behavior impacting health, initial 30 minutes | 25 | 13 | $0 |
| 96156 | Assessment of health behavior | 13 | 13 | $0 |
Insurance plans in this area (ZIP 84106)
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Group practice members
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