MAPLE LEAF CLINIC PC - NPI 1851715635 - Psychologist in Wallingford, VT

Q: What is Maple Leaf Clinic PC's NPI number?

The NPI number for Maple Leaf Clinic PC is 1851715635. It was assigned to this organization in the NPPES registry on February 13, 2014.

Q: What is Maple Leaf Clinic PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Maple Leaf Clinic Pc NPPES

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

MAPLE LEAF CLINIC PC (NPI 1851715635) is a healthcare organization registered as a clinical in Wallingford, Vermont and active in the NPI registry since February 2014. The organization lists Dean J Mooney, Owner, as its authorized official.

NPPES Registry Identity

NPI1851715635

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMAPLE LEAF CLINIC PC

Location Address167 N MAIN STWallingford, VT 05773-9800

Mailing Address167 N Main StWallingford, VT 05773-9800 · (802) 446-3577 · Fax (802) 446-3801

Phone(802) 446-3577

Fax(802) 446-3801

Organization SubpartNo

Authorized OfficialDean J MooneyOwner · (802) 446-3577

Enumeration DateFebruary 13, 2014

Last NPPES UpdateFebruary 5, 2021

NPPES CertifiedFebruary 5, 2021

✔ NPI 1851715635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VT · 620

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

167 N MAIN ST, Wallingford, VT 05773

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Other Identifiers 1

Medicaid1022361VT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 13

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

DR. MICHAEL WILLIAM KESLER PH.D.

Psychologist