Individual provider Active NPI

Irene F. Sharp, M.A.

  • Clinical Psychologist
  • South Burlington, VT
National Provider Identifier
1235151663
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
047-0000713 Issued in VT
Practice address
69 Joy Dr Apt D5
South Burlington, VT 05403-6123
Phone
(802) 865-3450
Fax
(802) 860-5011
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 047-0000713 VT Primary

Addresses

Primary practice location

69 Joy Dr Apt D5
South Burlington, VT 05403-6123

Mailing address

86 Lake St Ste 110
Burlington, VT 05401-5297
Phone (802) 865-3450

Other identifiers 2

IdentifierTypeStateIssuer
1010727MedicaidVT
6704573MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210405002122 VT Practitioner - Psychologist Billing Independently 2668430430 Practice locations: Burlington, VT; South Burlington, VT
I20240404004043 VT Practitioner - Mental Health Counselor 2668430430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

69 Joy Dr
Apt D5
South Burlington, VT 05403-6123
Phone (802) 865-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
047-0000713VTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Irene F Sharp LLC Clinical CurrentSince Feb 1, 2024 Accepting new patients

Locations

86 Lake St
Ste 110
Burlington, VT 05401
Phone (802) 288-0584

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1235151663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LAKE ST STE 110",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015297",
            "telephone_number": "802-865-3450",
            "fax_number": "802-860-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 JOY DR APT D5",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036123",
            "telephone_number": "802-865-3450",
            "fax_number": "802-860-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "IRENE",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-01-26",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "047-0000713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010727",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6704573",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.