Organization Active NPI

Paul Foxman, PH.D., Inc.

  • Clinical Psychologist
  • Burlington, VT
National Provider Identifier
1083867287
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0480000185 Issued in VT
Legal business name
PAUL FOXMAN, PH.D., INC.
Practice address
112 Lake St
Burlington, VT 05401-5284
Phone
(802) 865-3450
Fax
(802) 859-3309
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Foxman, PH.D.NPI 1679591895
Title
President
Phone
(802) 865-3450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0480000185 VT Primary

Addresses

Primary practice location

112 Lake St
Burlington, VT 05401-5284

Mailing address

86 Lake St
Burlington, VT 05401-5284
Phone (802) 865-3450

Other identifiers 1

IdentifierTypeStateIssuer
0006558MedicaidVT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1083867287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LAKE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015284",
            "telephone_number": "802-865-3450",
            "fax_number": "802-859-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LAKE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015284",
            "telephone_number": "802-865-3450",
            "fax_number": "802-859-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL FOXMAN, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "FOXMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-865-3450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "0480000185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006558",
            "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 Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.