Sam Piotrowski, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0470100524 Issued in VT

Practice address

112 Lake St
Burlington, VT 05401-5284

Phone

(802) 865-3450

Fax

(802) 860-5011

NPI assigned

Jul 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sam Piotrowski, M.a., PLC

  • Clinical Psychologist
  • Burlington, VT
  • NPI 1790155075
  NPD Authorized official

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1104234756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LAKE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015284",
            "telephone_number": "802-865-3450",
            "fax_number": "802-860-5011"
        },
        {
            "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": "802-860-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIOTROWSKI",
        "first_name": "SAM",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "0470100524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brooke Pileggi, LCSW
• Lindsey Pileika, MD
• Elizabeth Jane Pillard, LICSW
• Richard G Pinckney, MD
• Carlos A. Pino, M.D.
• Lori Jean Piper III
• Lisa Rose Pisani, MA, LCMHC
• Varada Pisharody, OTR
• Laci-Rae Pitter
• Jennifer Varricchione Pizzagalli, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.