Samantha Buley Medved, LICSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

089-0058237 Issued in VT

Practice address

530 Washington Hwy
Suite 12
Morrisville, VT 05661-8715

Phone

(802) 888-7266

Fax

(802) 888-3081

NPI assigned

May 11, 2010

Last updated

May 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Jane Buley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1184942567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WASHINGTON HWY",
            "address_2": "SUITE 12",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618715",
            "telephone_number": "802-888-7266",
            "fax_number": "802-888-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WASHINGTON HWY",
            "address_2": "SUITE 12",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618715",
            "telephone_number": "802-888-7266",
            "fax_number": "802-888-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVED",
        "first_name": "SAMANTHA",
        "middle_name": "BULEY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "089-0058237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BULEY",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanne McGrath, PHD
• Sara McKay, LICSW
• McKerley Health Care Centers, Inc. (Morrisville Center)
• Joseph Stephens McLaughlin, M.D.
• Kevin A. McNamara, DPM
• Tedra Meyer
• Jeffry E Michaelson, PT
• Bryan Monier, MD
• Andrea Janice Moore
• Sara Moore, LICSW

• Psychologist in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.