Phoenix Psychotherapy LLC
Psychologist in South Burlington, Vermont
1114348166- Practice location
- 595 Dorset St Ste 2, South Burlington, VT 05403-6240
- Phone
- 802-651-8999
- Fax
- 802-651-8997
- Last updated
- December 18, 2023
Phoenix Psychotherapy LLC is a healthcare organization based in South Burlington, VT. Phoenix Psychotherapy LLC practices in South Burlington, VT. The NPI Number for Phoenix Psychotherapy LLC is 1114348166 and holds a License No. 2051 (CO). The current practice location address for Phoenix Psychotherapy LLC is 595 Dorset St Ste 2, South Burlington, VT 05403-6240 and can be reached out via phone at 802-651-8999 and via fax at 802-651-8997.
Provider Profile Details
- NPI Number
- 1114348166
- Provider Name
- Phoenix Psychotherapy LLC
- Provider Entity Type
- Organization
- Address
- 595 Dorset St Ste 2, South Burlington, VT 05403-6240
- Phone Number
- 802-651-8999
- Fax Number
- 802-651-8997
- Primary Taxonomy
- Psychologist · 103T00000X
- Organization Subpart
- No
- Authorized Official
- Judith Vanderryn, PHD · Owner/Sole Proprietor · 802-651-8999
- Provider Enumeration Date
- December 18, 2013
- Last Update Date
- December 18, 2023
- Certification Date
- December 18, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 595 Dorset St Ste 2
South Burlington, VT 05403-6240 - City
- South Burlington
- State
- Vermont
- Zip
- 05403-6240
- Phone Number
- 802-651-8999
- Fax Number
- 802-651-8997
Provider Business Mailing Address Details
- Address
- Po Box 125
Vergennes, VT 05491-0125 - City
- Vergennes
- State
- VT
- Zip
- 05491-0125
- Phone Number
- 802-651-8999
- Fax Number
- 802-651-8997
License Information
- License Number
- 2051
- License State
- CO
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near South Burlington, VT
View all Psychologists in South Burlington →- Alexandra Waltien, MAPsychologist · NPI 1265177943
- Amanda Martin, MAPsychologist · NPI 1841156098
- Christine E Rushforth, MAPsychologist · NPI 1548428584
- Dr. Elizabeth Sprague, PSYDPsychologist · NPI 1972718146
- Dr. Kay F Schepp, EDDPsychologist · NPI 1750429353
- Dr. Nancy M Hodgkins, PSYDPsychologist · NPI 1326139908
Frequently Asked Questions
What is the NPI number of Phoenix Psychotherapy LLC?
The NPI number of Phoenix Psychotherapy LLC is 1114348166. It was assigned on December 18, 2013 and is currently active in the NPPES registry.
What is the specialty of Phoenix Psychotherapy LLC?
Phoenix Psychotherapy LLC is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CO under license number 2051.
Where does Phoenix Psychotherapy LLC practice?
The practice location is 595 Dorset St Ste 2, South Burlington, VT 05403-6240. The office can be reached at 802-651-8999 (phone) or 802-651-8997 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114348166 directly on the NPPES registry website.