Active NPI
Kirke H McVay, M.A.
- Psychologist
- Bennington, VT
National Provider Identifier
1275684359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 047-0000658
- Practice address
- 655 Main St
Bennington, VT 05201-2870 - Phone
- (802) 447-2129
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 047-0000658 | VT | Primary |
Addresses
Primary practice location
655 Main St
Bennington, VT 05201-2870
Mailing address
655 Main St
Bennington, VT 05201-2870
Phone (802) 447-2129
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41543 | Other | VT | MVP |
| 1006043 | Medicaid | VT |
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 |
|---|---|---|---|
| 047-0000658 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275684359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 MAIN ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012870",
"telephone_number": "802-447-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MAIN ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012870",
"telephone_number": "802-447-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVAY",
"first_name": "KIRKE",
"middle_name": "H",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "047-0000658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "41543",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006043",
"state": "VT"
}
],
"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 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.