Seth Joshua Peets, M.A., CAGS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

167 N Main St
Wallingford, VT 05773-9800

Phone

(802) 446-3577

NPI assigned

Jun 3, 2022

Last updated

Jun 16, 2022By the provider in NPPES

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

Credentials

Master of Arts

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1912646241",
    "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Allen St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014570",
            "country_code": "US",
            "telephone_number": "802-446-3577",
            "fax_number": "802-446-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEETS",
        "first_name": "SETH",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "M.A., CAGS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843956900",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Tenney Mangan, MS
• Maple Leaf Clinic PC
• Lisa Marchinkoski
• Taryn Renae Melen, MSW
• Dean JM Mooney, PH.D.
• Recovery House, Inc.
• Jaideep Sikand, MSW
• Justin Jeffrey Lewis Stairs, ATC
• Thrive Center of the Green Mountains Inc
• Chadd Viger, LADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.