Active NPI
Timothy Larosa, MD
- Psychiatry Physician
- Brattleboro, VT
National Provider Identifier
1063409985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042-0009710
- Practice address
- 1 Anna Marsh Lane
Brattleboro, VT 05302-0101 - Phone
- (802) 258-3707
- Fax
- (802) 258-3788
- NPI assigned
- Oct 5, 2005
- Last updated
- Feb 11, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042-0009710 | VT | Primary |
Addresses
Primary practice location
1 Anna Marsh Lane
Brattleboro, VT 05302-0101
Mailing address
PO Box 1906
Manchester Center, VT 05255-1906
Phone (802) 375-9759
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0009710 | VT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1063409985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1906",
"city": "MANCHESTER CENTER",
"state": "VT",
"postal_code": "052551906",
"telephone_number": "802-375-9759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ANNA MARSH LANE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053020101",
"telephone_number": "802-258-3707",
"fax_number": "802-258-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSA",
"first_name": "TIMOTHY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042-0009710",
"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 Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.