Individual provider Active NPI

Michael Checkoff, EDD

  • Psychologist
  • Waitsfield, VT
National Provider Identifier
1528044088
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
771 Issued in VT
Practice address
6971 RT 100
Valley Professional Center
Waitsfield, VT 05673
Phone
(802) 496-5299
Fax
(802) 876-1101
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 771 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

6971 RT 100
Valley Professional Center
Waitsfield, VT 05673

Mailing address

PO Box 127
Waitsfield, VT 05673-0127
Phone (802) 496-5299

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1008175MedicaidVT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528044088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056730127",
            "telephone_number": "802-496-5299",
            "fax_number": "802-876-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 RT 100",
            "address_2": "VALLEY PROFESSIONAL CENTER",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "05673",
            "telephone_number": "802-496-5299",
            "fax_number": "802-876-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECKOFF",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008175",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waitsfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.