Jaideep Sikand, MSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

097.0135351 Issued in VT

Practice address

167 N Main St
Wallingford, VT 05773-9800

Phone

(802) 446-3577

Fax

(802) 446-3801

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• 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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1659436558",
    "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": [
        {
            "address_1": "2600 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190132040",
            "country_code": "US",
            "telephone_number": "610-497-7357",
            "fax_number": "610-497-7363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKAND",
        "first_name": "JAIDEEP",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-06-08",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VT",
            "license": "097.0135351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659436558",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marchinkoski
• Taryn Renae Melen, MSW
• Dean JM Mooney, PH.D.
• Seth Joshua Peets, M.A., CAGS
• Recovery House, Inc.
• Justin Jeffrey Lewis Stairs, ATC
• Thrive Center of the Green Mountains Inc
• Chadd Viger, LADC
• Wallingford Rescue, Inc.

• All providers in Wallingford, VT
• Case Manager/Care Coordinator in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.