Michael William Kesler, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

048.0134183 Issued in VT

Practice address

167 N Main St
Wallingford, VT 05773-9800

Phone

(802) 446-3577

Fax

(802) 446-3801

NPI assigned

May 10, 2007

Last updated

Aug 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maple Leaf Clinic PC

  • Clinical Psychologist
  • Wallingford, VT
  • NPI 1851715635
  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1427262138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N MAIN ST",
            "city": "WALLINGFORD",
            "state": "VT",
            "postal_code": "057739800",
            "telephone_number": "802-446-3577",
            "fax_number": "802-446-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N MAIN ST",
            "city": "WALLINGFORD",
            "state": "VT",
            "postal_code": "057739800",
            "telephone_number": "802-446-3577",
            "fax_number": "802-446-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESLER",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "048.0134183",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "014595-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara L Gibbs, LMSW
• Jonathan Gilmore, M.S., C.A.S.
• Ashleigh Marie Heath, LADC
• Blaire Hooper
• Lindsey Gail Johnston, M.S.
• Peter Francis Lynn
• Elizabeth Tenney Mangan, MS
• Maple Leaf Clinic PC
• Lisa Marchinkoski
• Taryn Renae Melen, MSW

• Psychologist in Wallingford, VT
• Providers in Wallingford, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.