PM VIETZE PHD LLC (NPI# 1548879984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548879984 |
| Entity Type | Organization |
| Organization Name | PM VIETZE PHD LLC |
| Practice Address |
957 Cedarbrook Road Plainfield NJ 07060-2646 |
| Practice Telephone | 3476684992 |
| Practice Fax Number | 9087578322 |
| Mailing Telephone | 3476684992 |
| Mailing Fax Number | 9087578322 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | DR. PETER VIETZE (PRESIDENT) |
| Authorized Official Telephone | 3476684992 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0625558 | 05 |
| Street Address |
957 CEDARBROOK ROAD |
| City | PLAINFIELD |
| State | NJ |
| Zip Code | 07060-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1598304404 | Jeanne Marie Fleming | Specialist/Technologist | North Plainfield High School, 34 Wilson Ave, North Plainfield, NJ 07060 | 2019-12-26 |
| 1598236267 | Allison Wilks | Registered Nurse | 442 Est Front St, Plainfield, NJ 07060 | 2018-12-06 |
| 1982129045 | Carol F Davis | Counselor | 1326 Watchung Avenue, Plainfield, NJ 07060 | 2017-08-10 |
| 1437683109 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Maple Terrace, North Plainfield, NJ 07060 | 2017-04-19 |
| 1659759843 | Morning Star Medical Transport Inc | Ambulance | 700 W 8th St, Plainfield, NJ 07060 | 2015-05-08 |
| 1841625167 | Costco Wholesale Corporation | Pharmacy | 1290 Us Highway 22, North Plainfield, NJ 07060 | 2013-09-05 |
| 1164707121 | Hemandri Amish Patel | Pharmacist | 1165 Us 22 W, Apt 74, North Plainfield, NJ 07060 | 2011-10-20 |
| 1114229598 | Ophelia Rachell Chiles | Specialist | 767 Kensington Ave, Plainfield, NJ 07060 | 2010-11-17 |
| 1568772390 | Orlando Ramos | Counselor | 1010 Park Avenue, Plainfield, NJ 07060 | 2010-10-14 |
| Find all providers in zip 07060 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159642 | Family Home Care Services LLC | Psychologist | 7 Glenwood Ave Ste 419c, East Orange, NJ 07017-1065 | 2020-06-22 |
| 1326675034 | Jennifer Yedlin | Psychologist | 540 Queen Anne Rd, Teaneck, NJ 07666-3329 | 2020-03-24 |
| 1558835876 | Jacqueline D Freedman | Psychologist | 748 Morris Tpke Ste 207, Short Hills, NJ 07078-2617 | 2019-01-21 |
| 1669942777 | Psychological & Educational Consulting | Psychologist | 513 W Mount Pleasant Ave Ste 212, Livingston, NJ 07039-1721 | 2018-12-01 |
| 1467949735 | Courtney Anderson, Psyd, LLC | Psychologist | 256 Read St, Lakewood, NJ 08701-5327 | 2018-04-22 |
| 1790282192 | Stefan C. Dombrowski, Ph.d. & Associates, LLC | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-11 |
| 1104338813 | Suzi Millar | Psychologist | 50 Boulevard of Eagles, Edison, NJ 08817-4002 | 2017-11-03 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1801140256 | Sheryl Lori Pierre | Psychologist | 128 Bortons Landing Road, Suite 2, Moorestown, NJ 08057 | 2012-11-07 |
| Find all providers with the same taxonomy | ||||
| City | PLAINFIELD |
| Zip Code | 07060 |
Please comment or provide details below to improve the information on PM VIETZE PHD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.