Active NPI
Gaia Anne Deering, PSYCHOLOGIST-MASTER
- Psychologist
- Bennington, VT
National Provider Identifier
1194897546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 047-0000631
- Practice address
- 504A Main St
Suite 5
Bennington, VT 05201-2111 - Phone
- (802) 681-7314
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4539 | MA | |
| Psychologist | 103T00000X | 047-0000631 | VT | Primary |
Addresses
Primary practice location
504A Main St
Suite 5
Bennington, VT 05201-2111
Mailing address
504A Main St
Suite 5
Bennington, VT 05201-2111
Phone (802) 681-7314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31738 | Other | MA | HEALTH NEW ENGLAND |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4539 | MA | MD | Mental Health Counselor |
| 047-0000631 | VT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaia Deering Ma, LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Bennington, VT
- NPI 1184911497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1194897546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504A MAIN ST",
"address_2": "SUITE 5",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012111",
"telephone_number": "802-681-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504A MAIN ST",
"address_2": "SUITE 5",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012111",
"telephone_number": "802-681-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEERING",
"first_name": "GAIA",
"middle_name": "ANNE",
"credential": "PSYCHOLOGIST-MASTER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4539",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "047-0000631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "31738",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.