Active NPI
Stephanie Case, MA
- Psychologist
- Brattleboro, VT
National Provider Identifier
1023230307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 326
- Practice address
- 14 Park Place
Brattleboro, VT 05301 - Phone
- (802) 257-8687
- Fax
- (802) 451-1981
- NPI assigned
- May 3, 2007
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 326 | VT | Primary |
Addresses
Primary practice location
14 Park Place
Brattleboro, VT 05301
Mailing address
PO Box2092
Westbrattleboro, VT 05303-2092
Phone (802) 257-8687
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00005324 | Other | VT | BCBS VT |
| 00005324 | Medicaid | VT |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023230307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX2092",
"city": "WESTBRATTLEBORO",
"state": "VT",
"postal_code": "053032092",
"telephone_number": "802-257-8687",
"fax_number": "802-451-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PARK PLACE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "05301",
"telephone_number": "802-257-8687",
"fax_number": "802-451-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "STEPHANIE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS VT",
"identifier": "00005324",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00005324",
"state": "VT"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.