Active NPIIndividual providerSole proprietor

Dr. Christopher Vankleeck, PSYD

Psychologist, Clinical in Worcester, Massachusetts

NPI Number1073629895
Practice location
255 Park Ave, Worcester, MA 01609-1976
Fax
508-210-0553
Last updated
May 4, 2020

Christopher Vankleeck is a Psychologist, Clinical based in Worcester, MA. Christopher Vankleeck practices in Worcester, MA and has the professional credentials of PSYD. The NPI Number for Christopher Vankleeck is 1073629895 and holds a License No. 4563 (MA). The current practice location address for Christopher Vankleeck is 255 Park Ave, Worcester, MA 01609-1976 and can be reached out via phone at 508-612-6212 and via fax at 508-210-0553.

Provider Profile Details

NPI Number
1073629895
Provider Name
Christopher Vankleeck
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
255 Park Ave, Worcester, MA 01609-1976
Phone Number
508-612-6212
Fax Number
508-210-0553
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2006
Last Update Date
May 4, 2020
Certification Date
May 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Park Ave
Worcester, MA 01609-1976
Zip
01609-1976
Phone Number
508-612-6212
Fax Number
508-210-0553
Worcester, MA 01609Get directions →

Provider Business Mailing Address Details

Address
38 Heather Cir
Jefferson, MA 01522-1419
City
Jefferson
State
MA
Zip
01522-1419
Phone Number
508-612-6212
Fax Number
508-210-0553

License Information

License Number
4563
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Christopher Vankleeck, PSYD?

The NPI number of Dr. Christopher Vankleeck, PSYD is 1073629895. It was assigned on August 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Christopher Vankleeck, PSYD?

Dr. Christopher Vankleeck, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4563.

Where does Dr. Christopher Vankleeck, PSYD practice?

The practice location is 255 Park Ave, Worcester, MA 01609-1976. The office can be reached at 508-612-6212 (phone) or 508-210-0553 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073629895 directly on the NPPES registry website.

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