Active NPI
Gail Lynn Isenberg, PH.D.
- Clinical Neuropsychologist
- South Burlington, VT
National Provider Identifier
1043446487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0480000629
- Practice address
- 1233 Shelburne Rd
Suite 120
South Burlington, VT 05403-7700 - Phone
- (802) 236-1675
- NPI assigned
- May 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0480000629 | VT | |
| Clinical Neuropsychologist | 103G00000X | 0480000629 | VT | Primary |
Addresses
Primary practice location
1233 Shelburne Rd
Suite 120
South Burlington, VT 05403-7700
Mailing address
PO Box 948
Middlebury, VT 05753-0948
Phone (802) 236-1675
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0480000629 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1043446487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 948",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057530948",
"telephone_number": "802-236-1675",
"fax_number": "802-462-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 SHELBURNE RD",
"address_2": "SUITE 120",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037700",
"telephone_number": "802-236-1675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISENBERG",
"first_name": "GAIL",
"middle_name": "LYNN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "0480000629",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VT",
"license": "0480000629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.