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DR. PETER VIETZE PH.D.
NPI 1235266016
Psychologist - Clinical Child & Adolescent in New York, NY

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
465 GRAND ST, 3RD FLOOR, NEW YORK, NY 10002(347) 668-4992(212) 420-1910 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Vietze Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER VIETZE PH.D. (NPI 1235266016) is an individual clinical child & adolescent provider in New York, New York, licensed in New York (017065) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1235266016
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. PETER VIETZECredential: PH.D.
Location Address465 GRAND ST, 3RD FLOORNew York, NY 10002-4800
Mailing Address957 Cedarbrook RdPlainfield, NJ 07060-2646 · (347) 668-4992 · Fax (908) 757-8322
Phone(347) 668-4992
Fax(212) 420-1910
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateFebruary 27, 2007
Last NPPES UpdateApril 6, 2015
✔ NPI 1235266016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NY · 017065
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
465 GRAND ST, New York, NY 10002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter Vietze Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426156902
PECOS Enrollment IDI20070606000684, I20141212000974
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA LYNETTE WHITMORE
Developmental Therapist
465 GRAND ST
NEW YORK, NY 10002
New York County (212) 420-1999
CHLOE CHAN
Case Manager/Care Coordinator
465 GRAND ST
NEW YORK, NY 10002
New York County (212) 420-1999
YOCHEBET LEVI LARA
Case Manager/Care Coordinator
465 GRAND ST
NEW YORK, NY 10002
New York County (347) 207-5986
SHULEM STERNHILL MSW
Social Worker
465 GRAND ST
NEW YORK, NY 10002
New York County (212) 420-1970
MIO UEDA
Psychologist
465 GRAND ST
NEW YORK, NY 10002
New York County (212) 420-1999
RENDALYN TAN
Physical Therapist
465 GRAND ST
NEW YORK, NY 10002
New York County (917) 780-7118
MISS ASHLEY KO
Case Manager/Care Coordinator
465 GRAND ST, 2ND FL
NEW YORK, NY 10002
New York County (212) 420-1999
RICHARD DIVIS
Counselor (School)
465 GRAND ST
NEW YORK, NY 10002
New York County (212) 420-1999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Vietze's NPI number?

The NPI number for Peter Vietze is 1235266016. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Peter Vietze located?

Peter Vietze practices at 465 Grand St 3rd Floor, New York, NY 10002. The listed phone number is (347) 668-4992.

What is Peter Vietze's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Peter Vietze enrolled in Medicare?

Yes. Peter Vietze is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Vietze accept?

Health plans from Providence Health Plan list Peter Vietze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Vietze was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.