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Kenwana Vanderbilt, PSY.D.
NPI 1174864979 · Clinical Psychologist · Macon, GA
Kenwana Vanderbilt, PSY.D. is a Clinical Psychologist provider in Macon, GA (NPI 1174864979).
Provider details
- NPI number
- 1174864979
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PSY003494 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Macon Outpatient Clinic- 5398 Thomaston Rd.
Suite B
Macon, GA 31220
Phone: (478) 476-8868
Fax: (478) 476-8161
Street-level locationGet directions
Mailing address
Macon Outpatient Clinic- 5398 Thomaston Rd.
Macon, GA 31220
Registry dates
- Enumerated
- 2013-03-05
- Last updated
- 2016-03-09
Frequently asked questions
- What is Kenwana Vanderbilt's NPI number?
- Kenwana Vanderbilt's National Provider Identifier (NPI) is 1174864979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenwana Vanderbilt's specialty?
- Kenwana Vanderbilt is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenwana Vanderbilt located?
- Kenwana Vanderbilt's practice location on file with NPPES is Macon Outpatient Clinic- 5398 Thomaston Rd., Macon, GA 31220.
- What is Kenwana Vanderbilt's phone number?
- The practice phone number listed in the NPPES registry for Kenwana Vanderbilt is (478) 476-8868.
- Is Kenwana Vanderbilt's NPI active?
- Yes — Kenwana Vanderbilt's NPI (1174864979) is active in the NPPES registry as of the last update on 2016-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.