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Active NPI 1427759901 Individual Practitioner Male Practitioner

Douglas Vandenberg

Peer Specialist • Canton, MI

Professional Overview & Biography Verified Profile Summary

Douglas Vandenberg is a registered healthcare professional specializing in Peer Specialist in Canton, MI. Practice services are available at 50430 SCHOOL HOUSE RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

50430 School House Rd Ste 100

Canton, MI 481875910

Telephone 7344951722

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Canton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
44 Specialists

Practicing in Canton, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Janice Toporek

Counselor - Addiction (Substance Use Disorder)

NPI 1013723105
Marin Kolasa

Peer Specialist

NPI 1023766003
Nathaniel Ponder , LMSW, CCS, CADC

Social Worker - Clinical

NPI 1033724943

Licensed Master Social Worker, Certified Coding Specialist, Certified Alcohol and Drug Counselor

Nashawn Lariviere , CPRC

Counselor - Addiction (Substance Use Disorder)

NPI 1053127910
Robert Wiedemann

Peer Specialist

NPI 1093208118
Marian Partington

Peer Specialist

NPI 1144998808

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2023

Registered at 50430 SCHOOL HOUSE RD STE 100, CANTON, MI 481875910 (Tel: 7344951722)

📍
Updated Business Mailing Address March 13, 2023

Registered at 57951 GRAND RIVER AVE APT 4, NEW HUDSON, MI 481659814

👤
Provider Name / Credentials Updated March 13, 2023

Recorded as DOUGLAS VANDENBERG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration March 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427759901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2023
Last Update: March 13, 2023
Sole Proprietor: No

Mailing Address

57951 Grand River Ave Apt 4

New Hudson, MI 481659814

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.