Vaitkus Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6501 Issued in OH

Legal business name

VAITKUS PSYCHOLOGICAL SERVICES LLC

Practice address

615 Kingsbury St
Maumee, OH 43537-1865

Phone

(419) 270-2490

NPI assigned

Nov 15, 2016

Last updated

Nov 15, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melody L Vaitkus, PH.D.NPI 1972728939

Title

Owner

Phone

(419) 270-2490

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melody L Vaitkus, PHD

  • Psychologist
  • Maumee, OH
  • NPI 1972728939
  Medicare reassignment NPD Authorized official
• Amy Jo Arras, LPCC

  • Professional Counselor
  • Perrysburg, OH
  • NPI 1164145496
  NPD
• Lindsay Hamilton Brochhagen, LP

  • Clinical Psychologist
  • Oregon, OH
  • NPI 1679060982
  NPD
• Donna M Croniser, LPCC-S

  • Professional Counselor
  • Maumee, OH
  • NPI 1730474818
  NPD
• Tara Frick, MA, PC

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1730514886
  NPD
• Caleb John Hallauer, PH.D.

  • Clinical Psychologist
  • Maumee, OH
  • NPI 1306321617
  NPD
• Alexandria Hepburn

  • Mental Health Counselor
  • Maumee, OH
  • NPI 1588294474
  NPD
• Makenzie Danielle Ireland, LISW

  • Clinical Social Worker
  • Oregon, OH
  • NPI 1053975565
  NPD
• Jason C Levine, PH.D.

  • Clinical Psychologist
  • Toledo, OH
  • NPI 1073892972
  NPD
• Maria R Mielcarek, MA, LPCC

  • Mental Health Counselor
  • Toledo, OH
  • NPI 1457877532
  NPD
• Christina Marie Palidar

  • Clinical Social Worker
  • Maumee, OH
  • NPI 1043708415
  NPD
• Morgan Dale Peterman, MSW LSW

  • Social Worker
  • Toledo, OH
  • NPI 1164927299
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1053853507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 KINGSBURY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371865",
            "telephone_number": "419-270-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 KINGSBURY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371865",
            "telephone_number": "419-270-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAITKUS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "VAITKUS",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-270-2490",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melody L Vaitkus, PHD
• Alice Margaret Vandecaveye, LISW
• Nidhi Varma, M.D.
• Dianna Marie Vasher
• Ca'Cy Vaughn, RN

• Psychologist in Maumee, OH
• Providers in Maumee, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.