PM VIETZE PHD LLC
NPI 1548879984
Psychologist - Clinical Child & Adolescent in Plainfield, NJ

Active since July 30, 2020
957 CEDARBROOK ROAD, PLAINFIELD, NJ 07060(347) 668-4992(908) 757-8322 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pm Vietze Phd Llc NPPES

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

PM VIETZE PHD LLC (NPI 1548879984) is a healthcare organization registered as a clinical child & adolescent in Plainfield, New Jersey and active in the NPI registry since July 2020. The organization lists Peter Vietze, President, as its authorized official.

NPPES Registry Identity

NPI1548879984
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NamePM VIETZE PHD LLC
Location Address957 CEDARBROOK ROADPlainfield, NJ 07060-2646
Mailing Address957 Cedarbrook RoadPlainfield, NJ 07060-2646 · (347) 668-4992 · Fax (908) 757-8322
Fax(908) 757-8322
Organization SubpartNo
Authorized OfficialPeter VietzePresident · (347) 668-4992
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
NPI 1548879984 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
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.
957 CEDARBROOK ROAD, Plainfield, NJ 07060

Other Identifiers 1

Medicaid0625558NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Pm Vietze Phd LLC's NPI number?

The NPI number for Pm Vietze Phd LLC is 1548879984. It was assigned to this organization in the NPPES registry on July 30, 2020.

Where is Pm Vietze Phd LLC located?

Pm Vietze Phd LLC is located at 957 Cedarbrook Road, Plainfield, NJ 07060. The listed phone number is (347) 668-4992.

What is Pm Vietze Phd LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pm Vietze Phd LLC was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.