Organization Active NPI

SB Lewis Associates, PC

  • Clinical Psychologist
  • Williston, VT
National Provider Identifier
1174657597
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048-0000277 Issued in VT
Legal business name
SB LEWIS ASSOCIATES, PC
Practice address
28 Park Ave Ste 110
Williston, VT 05495-9703
Phone
(802) 651-7637
Fax
(802) 879-5335
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Steven R. Lewis, PSY.D.
Title
Clinical Psychologist
Phone
(802) 651-7637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 068-0000040 VT
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 048-0000277 VT Primary

Addresses

Primary practice location

28 Park Ave Ste 110
Williston, VT 05495-9703

Mailing address

28 Park Ave Ste 110
Williston, VT 05495-9703
Phone (802) 651-7637

National Provider Directory

National Provider Directory

Locations

28 Park Ave
Ste 110
Williston, VT 05495
Phone (802) 651-7637

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1174657597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PARK AVE STE 110",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959703",
            "telephone_number": "802-651-7637",
            "fax_number": "802-879-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PARK AVE STE 110",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959703",
            "telephone_number": "802-651-7637",
            "fax_number": "802-879-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB LEWIS ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "802-651-7637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0000040",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048-0000277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.