Organization Active NPI

Sandra Nigolian MSW Psychotherapy LLC

  • Clinic/Center
  • Burlington, VT
National Provider Identifier
1124872841
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SANDRA NIGOLIAN MSW PSYCHOTHERAPY LLC
Practice address
431 Pine St # G13
Burlington, VT 05401-4726
Phone
(802) 338-5122
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Sandra Nigolian, MSW LICSWNPI 1992557722
Title
Propretore
Phone
(802) 338-5122

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

431 Pine St # G13
Burlington, VT 05401-4726

Mailing address

431 Pine St # G13
Burlington, VT 05401-4726
Phone (802) 338-5122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240529002679 VT Part B Supplier - Clinic/Group Practice 1759723216 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, VT

National Provider Directory

National Provider Directory

Locations

431 Pine St
#G13
Burlington, VT 05401
Phone (802) 338-5122

Practitioners & affiliated clinicians

Practitioners 1

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": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1124872841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PINE ST # G13",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014726",
            "telephone_number": "802-338-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PINE ST # G13",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014726",
            "telephone_number": "802-338-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA NIGOLIAN MSW PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "NIGOLIAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PROPRETORE",
        "authorized_official_telephone_number": "802-338-5122",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2024; 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.