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

Dr. Kenwana Michelle Vanderbilt, PSYD

Individual provider Clinical Psychologist · NPI 1174864979

Dr. Kenwana Michelle Vanderbilt, PSYD is a Clinical Psychologist in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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

Macon Outpatient Clinic- 5398 Thomaston Rd Ste B
Macon, GA 31220
Phone: (478) 476-8868
Fax: (478) 476-8161
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY003494 (GA)

Record details

NPI number1174864979
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMarch 5, 2013
Last updated in NPPESMarch 9, 2016

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