MAPLE LEAF CLINIC PC
NPI 1851715635
Psychologist - Clinical in Wallingford, VT
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maple Leaf Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Maple Leaf Clinic PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
Where is Maple Leaf Clinic PC located?
Maple Leaf Clinic PC is located at 167 N Main St, Wallingford, VT 05773. The listed phone number is (802) 446-3577.
What is Maple Leaf Clinic PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Maple Leaf Clinic PC enrolled in Medicare?
Yes. Maple Leaf Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maple Leaf Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Maple Leaf Clinic PC, in Clinical Psychologist, Clinical Social Worker and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Maple Leaf Clinic PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Maple Leaf Clinic PC 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 Maple Leaf Clinic PC was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Maple Leaf Clinic Pc · NPI 1851715635
Clinical organization in Wallingford, Vermont. Organization record, active in the CMS NPPES registry since February 13, 2014.
## Identity
- **NPI:** 1851715635 (Entity type: Organization)
- **Enumerated:** February 13, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Dean Mooney, OWNER
## Practice location
- **Address:** 167 N MAIN ST, Wallingford, VT 05773-9800
- **Phone:** (802) 446-3577 · **Fax:** (802) 446-3801
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Clinical Social Worker (1), Psychologist Billing Independently (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2021
- **Other identifiers:** Medicaid 1022361 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1851715635) · Data from the CMS NPPES public registry.