Individual provider Active NPI

Magdalena R Naylor, M.D.

  • Psychiatry Physician
  • Burlington, VT
National Provider Identifier
1184715294
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042-0008729 Issued in VT
Practice address
1 S Prospect St
Arnold 6
Burlington, VT 05401-3456
Phone
(802) 847-4560
Fax
(802) 847-8747
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042-0008729 VT Primary

Addresses

Primary practice location

1 S Prospect St
Arnold 6
Burlington, VT 05401-3456

Mailing address

202 Stockbridge Rd
Charlotte, VT 05445-9358
Phone (802) 425-4133

Other practice location 1

49 School Street
Hartford, VT 05047
Phone (802) 295-3031

Other identifiers 2

IdentifierTypeStateIssuer
0VN0709MedicaidVT
01415970MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0008729VTMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1184715294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 STOCKBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459358",
            "telephone_number": "802-425-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S PROSPECT ST",
            "address_2": "ARNOLD 6",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013456",
            "telephone_number": "802-847-4560",
            "fax_number": "802-847-8747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 School Street",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "VT",
            "postal_code": "05047",
            "country_code": "US",
            "telephone_number": "802-295-3031",
            "fax_number": "802-886-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "MAGDALENA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0008729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0709",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01415970",
            "state": "NY"
        }
    ],
    "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 15, 2024; 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.