Active NPI
Roberta M. White
- Counseling Psychologist
- Brattleboro, VT
National Provider Identifier
1013575372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 097.0085317
- Practice address
- 72 Whetstone Rd
Brattleboro, VT 05301 - Phone
- (902) 275-2682
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 097.0085317 | VT | Primary |
Addresses
Primary practice location
72 Whetstone Rd
Brattleboro, VT 05301
Mailing address
72 Whetstone Rd
Brattleboro, VT 05301
Phone (902) 275-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0085317 | VT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1013575372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 WHETSTONE RD",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "05301",
"telephone_number": "902-275-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 WHETSTONE RD",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "05301",
"telephone_number": "902-275-2682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ROBERTA",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "097.0085317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.