Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jillon S. Vander Wal

Individual provider Cognitive & Behavioral Psychologist · NPI 1467669960

Dr. Jillon S. Vander Wal is a Cognitive & Behavioral Psychologist in Kansas City, Missouri. Works from 2 locations. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2007
Specialties on file
6

Practice location Address checks out

4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone: (816) 861-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10555 Marty St, Overland Park, KS 66212-2555 — (913) 956-6212

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP03007 (KS)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 2004021723 (MO)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence LP03007 (KS)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2004021723 (MO)
Health Service Psychologist Taxonomy 103TH0100X · Licence LP03007 (KS)
Health Service Psychologist Taxonomy 103TH0100X · Licence 2004021723 (MO)

Record details

NPI number1467669960
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESMay 31, 2022
Certification dateJanuary 27, 2022

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