Individual ProviderChristopher VankleeckPsychologistBehavioral Health & Social Service ProvidersPractice Address255 Park Ave, Worcester, MA 01609-1976(508) 612-6212PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Vankleeck is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073629895Provider TypeIndividualFull NameVankleeck, ChristopherTitleDr.CredentialPSY.D.GenderMaleSole ProprietorYesEnumeration Date8/22/2006Last Updated5/4/2020Contact InformationPractice LocationPractice Address255 Park Ave, Worcester, MA 01609-1976Phone(508) 612-6212Fax(508) 210-0553Mailing LocationMailing Address38 Heather Cir, Jefferson, MA 01522-1419Phone(508) 612-6212Fax(508) 210-0553Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense4563Massachusetts