NPPES file of Aug 9, 2026

Kimberly Gerisse Vandale, PH.D.

Psychologist · Mount Clemens, MI

Kimberly Gerisse Vandale, PH.D. is a psychologist with a practice address in Mount Clemens, Michigan, and NPI 1053633974, issued on Feb 19, 2010. Check the license (Michigan 6301014352, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053633974
Name
Kimberly Gerisse Vandale
Credential
PH.D.
Primary taxonomy
Psychologist 103T00000X
License number
6301014352 MI
Self-reported in NPPES; status is on the state search
Practice location
116 Market St, Mount Clemens, MI 48043
Phone
(586) 465-4444
Enumerated
Feb 19, 2010
Record last updated
Feb 9, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(586) 783-2761
Medicare enrollment
Enrolled (PECOS I20130211000381); accepts Medicare assignment
Medical or professional school
Wayne State University School Of Medicine, 2007
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 116 Market St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Karen Gawaran, LMSWClinical Social Worker1639483365
  2. Melanie Longworth-Beattie, PSY.D.Clinical Psychologist1295771319

Verify Kimberly Gerisse Vandale in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 6301014352
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Perceptions Counseling Services, P.C.Mount Clemens, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kimberly Gerisse Vandale among 2,549 psychologist records in Michigan

Kimberly Gerisse Vandale, PH.D. is one of 2,549 psychologist records with a practice address in Michigan. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 47% of them.

  • NPI issued2010 · 47% of these records are older, 50% newer
  • In a Medicare fileYes · 6% of these records are
  • In the CMS Doctors and Clinicians fileYes · 12% of these records are
  • Graduated2007 · median 1999 among the 308 with a school on file
  • Record last updated2011 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychologist providers in Michigan

There are 2,549 psychologist records in Michigan.

The 8 psychologist records with the nearest ZIP codes

  1. Anna Brose, MAMount Clemens, MI 480431457233645
  2. Douglas Geering, MA, LLPMount Clemens, MI 480431962500843
  3. James Zender, PHDMount Clemens, MI 480431225083355
  4. Paul Roodbeen, MA, LLPMacomb, MI 480441982269049
  5. Erin Price, LLPMarysville, MI 480401396283198
  6. Sheila Chartier, LLPNew Baltimore, MI 480471043340904
  7. Debra Gainor, MA, LLPChesterfield, MI 480471144310103
  8. Deborah Conrad-Garrisi, PHD, LP, RNClinton Twp, MI 480381982884367

Common questions

What is Kimberly Gerisse Vandale, PH.D.'s NPI number?

Kimberly Gerisse Vandale, PH.D.'s National Provider Identifier (NPI) is 1053633974, issued on Feb 19, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Kimberly Gerisse Vandale, PH.D. located?

The NPPES record lists a practice address at 116 Market St, Mount Clemens, MI, 48043. Phone: (586) 465-4444. Providers update this record themselves, so call before visiting.

How can I verify Kimberly Gerisse Vandale, PH.D.'s license?

NPPES lists Michigan license number 6301014352, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.