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

Individual provider Clinical Psychologist · NPI 1043517568

Dr. Karin Kip Vandervoort, PSYD is a Clinical Psychologist in Oakland, California. Qualified in 2009, 17 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2011
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

5665 College Ave Ste 330B
Oakland, CA 94618-1656
Phone: (510) 409-7219
Fax: (510) 655-1183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5665 College Ave, Oakland, CA 94618-1625 — (510) 409-7219

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 24129 (CA)

Record details

NPI number1043517568
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedFebruary 18, 2011
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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