Active NPI
Louise A. Dietzel, M.S.
- Psychologist
- Essex Junction, VT
National Provider Identifier
1053485441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4700000415
- Practice address
- 6 Hillcrest Rd
Essex Junction, VT 05452-3611 - Phone
- (802) 878-2118
- Fax
- (802) 878-7582
- NPI assigned
- Nov 20, 2006
- 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 | 4700000415 | VT | Primary |
Addresses
Primary practice location
6 Hillcrest Rd
Essex Junction, VT 05452-3611
Mailing address
6 Hillcrest Rd
Essex Junction, VT 05452-3611
Phone (802) 878-2118
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4700000415 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053485441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HILLCREST RD",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523611",
"telephone_number": "802-878-2118",
"fax_number": "802-878-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HILLCREST RD",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523611",
"telephone_number": "802-878-2118",
"fax_number": "802-878-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETZEL",
"first_name": "LOUISE",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "4700000415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex Junction, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.