Active NPI
Aimee Idelle Gaffney, M.A.
- Counseling Psychologist
- Burlington, VT
National Provider Identifier
1053477455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 416
- Practice address
- 2 Church St
Suite 4a
Burlington, VT 05401-4299 - Phone
- (802) 863-9393
- Fax
- (802) 286-3939
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 416 | VT | Primary |
Addresses
Primary practice location
2 Church St
Suite 4a
Burlington, VT 05401-4299
Mailing address
13 Grey Meadow Dr
Burlington, VT 05401-1319
Phone (802) 660-0732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0625228 | Other | VT | PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 416 | VT | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Roos Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Burlington, VT
- NPI 1568769818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053477455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 GREY MEADOW DR",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011319",
"telephone_number": "802-660-0732",
"fax_number": "802-863-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHURCH ST",
"address_2": "SUITE 4A",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014299",
"telephone_number": "802-863-9393",
"fax_number": "802-286-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAFFNEY",
"first_name": "AIMEE",
"middle_name": "IDELLE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "0625228",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.