Peter Vietze, PH.D.
Peter Vietze, PH.D. is a Clinical Child & Adolescent Psychologist in New York, NY, registered under NPI 1235266016. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 465 GRAND ST 3RD FLOOR, New York, NY 10002. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 017065 | NY | Clinical Child & Adolescent Psychologist primary |
This provider holds licence 017065 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Psychologist
- PAC ID
- 8426156902
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New York | I20070606000684 | Practitioner - Clinical Psychologist |
| New Jersey | I20141212000974 | Practitioner - Clinical Psychologist |
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. There are 2 separate enrolment records across 2 states (NY, NJ). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Child & Adolescent covers
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. NUCC Health Care Provider Taxonomy, code 103TC2200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1235266016 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 27, 2007 |
| Last updated | Apr 6, 2015 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PH.D. |
| Practice address |
465 GRAND ST 3RD FLOOR New York, NY 10002 (347) 668-4992 Fax (212) 420-1910 |
| Mailing address |
957 CEDARBROOK RD Plainfield, NJ 07060 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 3 | 5 | 2 | 6 | 6 | 0 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 6 | 5 | 4 | 6 | 3 | 0 | 2 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.