Virginia M. Macdonald, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

048.0000572 Issued in VT

Practice address

321 Main St Ste B
Winooski, VT 05404-1380

Phone

(802) 338-6374

NPI assigned

Mar 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1245369578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 RICHFIELD LN",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054469625",
            "telephone_number": "802-338-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST STE B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041380",
            "telephone_number": "802-338-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "VIRGINIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0000572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0549",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Lemnah
• Lifestance Health - Vermont, LLC Dba Lifestance Health
• Cathleen Rose Loughlin, PT
• Sarah Lowry, MA, RDT
• Richard C Lyons, M.D.
• Mary Mahoney, BCBA
• Emily Manny, LCMHC
• Marathon Health LLC
• Katherine Hudspeth Maynard, MS
• Emily Anne McDonald, MS, LCMHC

• Clinical Psychologist in Winooski, VT
• Providers in Winooski, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.