Zaanti Psychotherapy, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

047-0000735 Issued in VT

Legal business name

ZAANTI PSYCHOTHERAPY, LLC

Practice address

34 Patchen Rd
South Burlington, VT 05403-5704

Phone

(802) 658-4208

Fax

(802) 658-2234

NPI assigned

Aug 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Christine E Rushforth, M.A.

Title

Sole Member of LLC

Phone

(802) 658-4208

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1093961278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PATCHEN RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035704",
            "telephone_number": "802-658-4208",
            "fax_number": "802-658-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PATCHEN RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035704",
            "telephone_number": "802-658-4208",
            "fax_number": "802-658-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAANTI PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "RUSHFORTH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER OF LLC",
        "authorized_official_telephone_number": "802-658-4208",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "VT",
            "license": "047-0000735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015031",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.