Active NPI
SB Lewis Associates, PC
- Clinical Psychologist
- Williston, VT
National Provider Identifier
1174657597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048-0000277
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000040 | VT | |
| Clinical Psychologist | 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 DirectoryLocations
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.