Susie Elizabeth Caron, M.A.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

047-0000717 Issued in VT

Practice address

325 Swamp Rd
Fairfax, VT 05454-9777

Phone

(802) 849-2777

NPI assigned

Dec 14, 2006

Last updated

Aug 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1093877300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054540275",
            "telephone_number": "802-849-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SWAMP RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054549777",
            "telephone_number": "802-849-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "SUSIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VT",
            "license": "047-0000717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011337",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristin Adie, FNP
• Christina HR Allard, PT
• Joseph Matthew Boone, NP-C
• Kaitlin E Brenny, PA-C
• Chelsea C Clark, RN, IBCLC
• Maxwell Crystal
• Sherry Lynne Cushing
• Casey D'Alberto, DPT
• Sarah Desilvey, FNP

• Clinical Child & Adolescent Psychologist in Fairfax, VT
• Providers in Fairfax, VT by specialty
• Clinical Child & Adolescent Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.