Active NPI
Tanya Rexford Searles, MA
- Clinical Psychologist
- Newport, VT
National Provider Identifier
1184835001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 703
- Practice address
- 194 Main St
Suite 210
Newport, VT 05855-6104 - Phone
- (802) 334-6280
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 703 | VT | Primary |
Addresses
Primary practice location
194 Main St
Suite 210
Newport, VT 05855-6104
Mailing address
194 Main St
Suite 210
Newport, VT 05855-6104
Phone (802) 334-6280
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008666 | Medicaid | VT | |
| 890098 | Other | VT | MVP |
| 58683 | Other | VT | BLUE CROSS & BLUE SHIELD |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 703 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184835001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 MAIN ST",
"address_2": "SUITE 210",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058556104",
"telephone_number": "802-334-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 MAIN ST",
"address_2": "SUITE 210",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058556104",
"telephone_number": "802-334-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARLES",
"first_name": "TANYA",
"middle_name": "REXFORD",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008666",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "890098",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "58683",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.